<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0484-7903</journal-id>
<journal-title><![CDATA[Revista mexicana de anestesiología]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. mex. anestesiol.]]></abbrev-journal-title>
<issn>0484-7903</issn>
<publisher>
<publisher-name><![CDATA[Colegio Mexicano de Anestesiología A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0484-79032021000200123</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[La lesión miocárdica en el perioperatorio de cirugía no cardíaca]]></article-title>
<article-title xml:lang="en"><![CDATA[Myocardial injury in the perioperative period of non-cardiac surgery]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Luna-Ortiz]]></surname>
<given-names><![CDATA[Pastor]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Bernal-Ríos]]></surname>
<given-names><![CDATA[Nora]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[García-Bravo]]></surname>
<given-names><![CDATA[Mariela]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Fortis-Olmedo]]></surname>
<given-names><![CDATA[Luis Leobardo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Martínez-Rosas]]></surname>
<given-names><![CDATA[Martin]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Instituto Nacional de Cardiología «Ignacio Chávez» Departamento de Farmacología. ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,American British Cowdray Hospital Departamento de Anestesiología ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Instituto Nacional de Cardiología «Ignacio Chávez» Departamento de Fisiología ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2021</year>
</pub-date>
<volume>44</volume>
<numero>2</numero>
<fpage>123</fpage>
<lpage>129</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S0484-79032021000200123&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S0484-79032021000200123&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S0484-79032021000200123&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen: Estudios recientes sobre las causas de muerte en el postoperatorio de cirugía no cardíaca han identificado a la lesión miocárdica como una complicación que se asocia con eventos cardíacos adversos mayores que aumentan la mortalidad a 30 días. La lesión miocárdica se manifiesta como una elevación de las troponinas cardíacas que se produce durante o a los 30 días después de la cirugía, sin que los pacientes presenten síntomas y sin cambios en el electrocardiograma de superficie. En la actualidad, se busca mejorar el diagnóstico oportuno de esta complicación y desarrollar terapias preventivas. En esta revisión abordamos la evidencia de esta lesión, sus mecanismos fisiopatológicos y su manejo.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract: Recent studies on the death causes in the postoperative period of non-cardiac surgery have identified myocardial injury as a complication that is associated with major adverse cardiac events that increase mortality at 30 days after surgery. This kind of myocardial lesion is characterized by the elevation of the cardiac troponins levels during or in the 30 days after the surgery, without symptoms ischemia or changes in the electrocardiogram. Currently, one main goal has been the timely diagnosis of this complication, besides preventive therapies development. The present review article examines the current body of knowledge of this injury, the physiopathological mechanisms and its management.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Lesión miocárdica]]></kwd>
<kwd lng="es"><![CDATA[cirugía no cardíaca]]></kwd>
<kwd lng="es"><![CDATA[elevación de troponinas]]></kwd>
<kwd lng="es"><![CDATA[isquemia miocárdica]]></kwd>
<kwd lng="en"><![CDATA[Myocardial injury]]></kwd>
<kwd lng="en"><![CDATA[non-cardiac surgery]]></kwd>
<kwd lng="en"><![CDATA[troponin high levels]]></kwd>
<kwd lng="en"><![CDATA[myocardial ischemia]]></kwd>
</kwd-group>
</article-meta>
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