Is Thyroid Surgery A Risk for Myocardial Injury?
Journal Title: Meandros Medical and Dental Journal - Year 2020, Vol 21, Issue 1
Abstract
Objective: Thyroid surgery is a widely performed non-cardiac surgical procedure. However, peri-operative myocardial injury (PMI) is the most common vascular complication associated with poor peri-operative outcomes. We aimed to investigate the effect of thyroid surgery on myocardial biomarkers during the peri-operative period. Materials and Methods: A total of 98 patients (82.6% female, mean age=51.1±15.8 years) were prospectively included in the study. Patients with a previous history of cardiac diseases were excluded. Cardiac Troponin-I, creatine kinase (CK)-MB and CK levels were measured in the pre-operative period and at the 6th and 24th hours of the post-operative period. Furthermore, electrocardiography (ECG) was performed on each patient. Subsequently, the data collected at these three time points were compared. Results: Troponin-I, CK-MB, CK levels and ECG analysis of the patients who underwent thyroid surgery. The CK levels significantly increased in the post-operative 6th hour and slightly decreased in the post-operative 24th hour (p<0.001) when compared to that in the pre-operative period. The CK-MB and troponin-I levels were not significantly different in the peri-operative period (p=0.108 and p=0.557, respectively). Moreover, no ischaemic ECG changes were observed during the peri-operative period. Conclusion: PMI does not occur in patients undergoing thyroid surgery. We also showed that thyroid tissue is not a non-cardiac origin of troponin and CK-MB. Physicians should be aware of coronary events in the peri-operative period of thyroid surgery, when elevated cardiac biomarkers are detected.
Authors and Affiliations
Murat Doğan, Aykut Soyder
Keywords
Related Articles
- EP ID EP684897
- DOI 10.4274/meandros.galenos.2019.68442
- Views 168
- Downloads 0
The Effect of Different Chelating Agents on the Fracture Resistance of Endodontically Treated Teeth
Objective: This study aimed to determine the effect of three different chelating agents on the fracture resistance of endodontically treated teeth with or without passive ultrasonic irrigation (PUI). Materials and Metho...
Effect of Silver Ion Surface Coating on Antimicrobial and Cutting Efficiencies of Nickel-titanium Rotary Files
Objective: Silver ions are well known to have effective antimicrobial activity against many microorganisms. This study aims to evaluate the antimicrobial and cutting efficiencies of nickel-titanium rotary file surface co...
Awareness on the Effects of Periodontal Diseases on the General Health of Individuals with Systemic Diseases and Determination of Influential Factors
Objective: This study aimed to investigate the level of awareness regarding the effect of systemic diseases on periodontal diseases among individuals with systemic diseases. Materials and Methods: This descriptive study...
Effect of Different Heat-treated Nickel-Titanium Files on Vertical Root Fracture Resistance
Objective: This study aimed to evaluate the fracture resistance of teeth instrumented with rotary files manufactured from different heat-treated nickel-titanium (NiTi) wires. Materials and Methods: One hundred extracted...
Patients with FMF Associated Spondyloarthropathy Who Has Heterozygous M694V Mutation: A Case Report
Familial Mediterranean Fever (FMF) is the most common Periodic Fever syndrome characterized by attacks like serositis and fever. FMF is an autosomal recessive disease caused by MEFV gene mutations which located on 16p13....