Péptido natriurético cerebral y su pro-hormona como predictor de riesgo cardiovascular en cirugía no cardiaca

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.