Just Do It!

Editorial| September 2024 Just Do It! Daniel I. Sessler, M.D. Daniel I. Sessler, M.D. 1Outcomes Research Consortium, Department of Anesthesiology, Cleveland Clinic, Cleveland, Ohio. https://orcid.org/0000-0001-9932-3077 Search for other works by this author on: This Site PubMed Google Scholar Author and Article Information Accepted for publication May 24, 2024. This editorial accompanies the article on p. 475. Address correspondence to Dr. Sessler: Anesthesiology September 2024, Vol. 141, 428–430. https://doi.org/10.1097/ALN.0000000000005113 Connected Content Article: Preoperative N-terminal Pro–B-type Natriuretic Peptide and High-sensitivity Cardiac Troponin T and Outcomes after Major Noncardiac Surgery: A Prospective Cohort Study Views Icon Views Article contents Figures & tables Video Audio Supplementary Data Peer Review Share Icon Share Facebook Twitter LinkedIn Email Cite Icon Cite Get Permissions Search Site Citation Daniel I. Sessler; Just Do It!. Anesthesiology 2024; 141:428–430 doi: https://doi.org/10.1097/ALN.0000000000005113 Download citation file: Ris (Zotero) Reference Manager EasyBib Bookends Mendeley Papers EndNote RefWorks BibTex toolbar search Search Dropdown Menu toolbar search search input Search input auto suggest filter your search All ContentAll PublicationsAnesthesiology Search Advanced Search Topics: biological markers, cardiac complications, myocardial infarction, myocardial injury, nt-probnp, surgical procedures, operative, troponin, preoperative care, heart disease risk factors, revised cardiac risk index Intraoperative mortality is now so low that it is hard to quantify.1 In contrast, postoperative mortality remains frequent and is arguably the third leading cause of death worldwide.2 Bleeding-related and cardiovascular complications are the most common causes of 30-day postoperative mortality. Among cardiovascular complications, myocardial injury after noncardiac surgery is by far the most common. Myocardial injury after noncardiac surgery is defined by troponin elevations thought to be due to cardiac ischemia, with or without signs or symptoms. Myocardial injury after noncardiac surgery usually occurs within 2 days after surgery, and more than 90% is asymptomatic.3 In contrast, troponin elevation with ischemic signs or symptoms defines a myocardial infarction.4 In fact, both result from myocardial necrosis and are usually type 2 (supply–demand) events. Although largely asymptomatic, mortality from myocardial injury after noncardiac surgery is nearly as high as from full postoperative myocardial infarctions.3 Postoperative cardiovascular... You do not currently have access to this content.