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Publication Name World Journal of Critical Care Medicine
Manuscript ID 125752
DOI 10.5492/wjccm.125752
Country Lebanon
Category Critical Care Medicine
Manuscript Type Evidence Review
Article Title Myocardial injury after non-cardiac surgery: Diagnosis, prognosis, and management in the critical care setting
Manuscript Source Unsolicited Manuscript
All Author List Jana Abou Fakher, Najib Tayoun, Mandy El Khoury, Mohammad Zalzaly, Yara Al Deghel, Hadi Natour, Yousef Matto, Peter Saab, Youssef Finianos, Serge Antoun, Mohamad Tlais and Razan Abdulaal
Funding Agency and Grant Number
Corresponding Author Mohamad Tlais, MD, Department of Cardiology, University of Balamand, Hazmieh, Beirut 1100, Beyrouth, Lebanon. mmtlaiss22@gmail.com
Key Words Myocardial injury after noncardiac surgery; Cardiac troponin; Postoperative complications; Perioperative care; Critical care; Intensive care units; Risk assessment; Secondary prevention; Narrative review
Core Tip Myocardial injury after non-cardiac surgery is common, usually silent, and strongly linked to mortality, yet frequently missed without protocolized postoperative troponin surveillance. Its drivers—hypotension, impaired oxygen delivery, anemia, and tachycardia—are core critical care concerns. This structured narrative evidence review separates guideline-endorsed recommendations from randomized-trial and observational evidence, addresses troponin interpretation in the critically ill, and proposes a surveillance-and-response pathway. No randomized trial has yet shown that such a pathway improves patient-important outcomes; the algorithms presented are evidence-informed frameworks for local adaptation, not validated standards of care.
Citation Abou Fakher J, Tayoun N, El Khoury M, Zalzaly M, Al Deghel Y, Natour H, Matto Y, Saab P, Finianos Y, Antoun S, Tlais M, Abdulaal R. Myocardial injury after non-cardiac surgery: Diagnosis, prognosis, and management in the critical care setting. World J Crit Care Med 2026; In press
PDF 125752-in-press.pdf
Received
2026-07-15 06:29
Peer-Review Started
2026-07-15 06:30
First Decision by Editorial Office Director
Return for Revision
2026-08-18 04:12
Revised
2026-08-23 17:32
Publication Fee Transferred
Second Decision by Editor
2026-10-09 03:30
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director
2026-10-09 09:50
Articles in Press
2026-10-09 09:50
Edit the Manuscript by Language Editor
Typeset the Manuscript
ISSN 2220-3141(online)
Open Access This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Copyright ©Author(s) (or their employer(s)) 2026. No commercial re-use. See Permissions. Published by Baishideng Publishing Group Inc.
Permissions For details, please visit: http://www.wjgnet.com/bpg/gerinfo/207
Publisher Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA
Website http://www.wjgnet.com