非心脏手术心血管危险因素评估的新进展

New developing assessment of cardiovascular risk factors for patients undergoing non-cardiac surgery

背景非心脏手术围术期心血管事件的发生率不断升高已为临床所共识；最新的研究表明血浆脑利钠肽（brain natriureticpeptide，BNP）、高敏C反应蛋白（highsensitivity C-reactiveprotein，hs-CRP）、心磁图（magnetocardiogram，MCG）来预测围术期心血管事件，对降低围术期心血管事件的发生具有重要意义和临床价值。目的分析和总结了非心脏手术围术期心血管事件发生的机制及预测其文献资料。内容描述和分析了BNP、hs-CRP、MCG与传统预测方法对心血管危险事件的预测作用的优缺点。趋向BNP、hs-CRP、MCG作为评估和预测围术期心血管事件发生的方法，具有简便、无或微创等优点，有望成为新的评估方法。

Background The incidences of cardiovascular events in non-cardiac surgery perioperative period have been rising for clinical consensus. Recent studies have shown that BNP, hs-CRP and MCG have great significance and clinical value for predicting perioperative cardiovascular events and reducing perioperative cardiovascular events. Objective This paper analyzes and summarizes literatures on the mechanism and predict perioperative cardiovascular events of non -cardiac surgery. Content This paper describes and analyzes the advantages and disadvantages of BNP, hs-CRP, MCG and traditional methods in prediction on cardiovascular risk events. Trend BNP, hs-CRP, MCG as method of the assessment and prediction on perioperative cardiovascular events, its advantages with simple, non-or minimally invasive, etc, is expected to become the new method of assessment.