Objective: The evaluation of innovative biomarkers of myocardial damage in the perioperative period. Methods: Twenty-four patients with gastric or colorectal cancer were studied and samples were collected for the measurement of myoglobin, troponin I (cTnI), creatine kinase isoenzyme MB (CK-MB), glycogen phosphorylase isoenzyme BB (GPBB), carbonic anhydrase III (CA III), fatty acid-binding protein (FABP), and CK presurgery and on the first, seventh, and thirtieth days post-surgery. Results: Troponin I values were unchanged throughout the study period. Myoglobin, GPBB, CA III, and FABP were significantly increased on day 1 after surgery. On the seventh day, GPBB, myoglobin, and FABP were still increased, whereas CK was decreased. Thirty days after surgery no significant variations were observed except a decrease of CK and CA III. Conclusions: These results show cTnI and CK-MB are unaffected by surgery, while the measurement of CA III, FABP, GPBB, and myoglobin might be unsuitable for diagnosing an acute coronary syndrome perioperatively.

Biomarkers of myocardial infarction in patients undergoing gastrointestinal cancer surgery

Lippi G.;Salvagno G. L.;Minicozzi A. M.;Montagnana M.;Cordiano C.;De Manzoni G.;Guidi G. C.
2009-01-01

Abstract

Objective: The evaluation of innovative biomarkers of myocardial damage in the perioperative period. Methods: Twenty-four patients with gastric or colorectal cancer were studied and samples were collected for the measurement of myoglobin, troponin I (cTnI), creatine kinase isoenzyme MB (CK-MB), glycogen phosphorylase isoenzyme BB (GPBB), carbonic anhydrase III (CA III), fatty acid-binding protein (FABP), and CK presurgery and on the first, seventh, and thirtieth days post-surgery. Results: Troponin I values were unchanged throughout the study period. Myoglobin, GPBB, CA III, and FABP were significantly increased on day 1 after surgery. On the seventh day, GPBB, myoglobin, and FABP were still increased, whereas CK was decreased. Thirty days after surgery no significant variations were observed except a decrease of CK and CA III. Conclusions: These results show cTnI and CK-MB are unaffected by surgery, while the measurement of CA III, FABP, GPBB, and myoglobin might be unsuitable for diagnosing an acute coronary syndrome perioperatively.
Biomarkers myocardial infarction gastrointestinal cancer
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11562/340128
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