Resumen

CORREA PADILLA, Jorge Miguel. Cerebral natriuretic peptide and its pro-hormone as predictor of cardiovascular risk in non-cardiac surgery. Rev cuba anestesiol reanim [online]. 2012, vol.11, n.2, pp.107-115. ISSN 1726-6718.

Introduction: The prevalence of the cardiovascular disease increases with age and the major non-cardiac surgery is associated with a high risk of early cardiovascular complications. Objectives: To make an updating on the usefulness of the cerebral natriuretic peptide and the terminal fraction of its pro-hormone as a predictor of the cardiovascular risk in non-cardiac surgery. Development: Traditionally is has been proposed that the imbalance among factors modifying the contribution/consumption of 02 at myocardial level, as well as the hemoglobin levels and the plate vulnerability are the factor with a great incidence in the appearance of perioperative cardiac complications. In past years, the usefulness of both peptides in diagnosis and prognosis of patients presenting with a cardiac failure, have lead to a great interest on its potential use as prognosis in the appearance of postoperative cardiovascular complications. Complications: Both natriuretic peptides are a significant tool in prediction or cardiovascular morbility and mortality in non-cardiac surgery and also are independent cardiovascular risk factors with a high sensitivity and specificity.

Palabras clave : non-cardiac surgery; cerebral natriuretic peptide; terminal fraction of its pro-hormone; cardiovascular complications.

        · resumen en Español     · texto en Español     · Español ( pdf )