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Pre- and Postoperative Troponin Elevation: Effects on Postoperative Mortality

Wanderer, Jonathan P. MD, MPhil*; Nathan, Naveen MD

doi: 10.1213/ANE.0000000000001467
Infographic: Infographic

From *Vanderbilt University School of Medicine, Nashville, Tennessee; and Northwestern University Feinberg School of Medicine, Chicago, Illinois.

Infographic composed by Jonathan P. Wanderer, MD, MPhil, and Naveen Nathan, MD. Illustration by Naveen Nathan, MD.

Reprints will not be available from the authors.

Address correspondence to Jonathan P. Wanderer, MD, MPhil, Vanderbilt University School of Medicine, Nashville, TN 37232G. Address e-mail to

Recent analyses have demonstrated significant associations between troponin elevations in both the preoperative and postoperative settings. In this infographic, we explore the relationship between mortality and positive preoperative troponins, and the diagnostic and management pathways associated with postoperative troponin elevation.1,2

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1. van Waes JAR, Grobben RB, Nathoe HM, et al.One-year mortality, causes of death, and cardiac interventions in patients with postoperative myocardial injury.Anesth Analg20161232937
2. Maile MD, Jewell ES, Engoren MCTiming of preoperative troponin elevations and postoperative mortality after noncardiac surgeryAnesth Analg2016123135140
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