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Journal
2009 | 4 | 4 | 459-466
Article title

Risk assessment in coronary patients undergoing abdominal nonvascular surgery

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EN
Abstracts
EN
The aim of our study was to establish that the incidence of perioperative cardiac complications were in direct correlation with level of operative risk in coronary patients undergoing open abdominal nonvascular surgery with general anesthesia. Our prospective observational clinical study was composed of a group of 111 consecutive patients with angiographically-verified coronary artery disease, who were operated on at the University Clinical Center of Serbia. The patients were classified into four stratification subgroups by “Goldman’s Cardiac Risk Index” (CRI) in relation to the incidence of perioperative cardiac complications. Electrocardiography was performed immediately after surgery, on postoperative days 1, 2, 7 and one day before discharge from the hospital. All patients were followed to postoperative day 30. Statistical design was presented by Pearson’s χ2 test and binomial logistic regression. The main result was significant difference between the four stratification subgroups of coronary patients in the incidence of cardiac death up to the 30th postoperative day: I - 0/17 (0.0%) vs. II - 0/40 (0.0%) vs. III - 1/37 (2.7%) vs. IV - 2/17 (11.8%), (p<0.05). We concluded that the incidence of perioperative cardiac complications significantly increased with the degree of Goldman’s CRI. There was significant difference in the incidence of perioperative cardiac complications between the four Goldman’s stratification subgroups.
Publisher

Journal
Year
Volume
4
Issue
4
Pages
459-466
Physical description
Dates
published
1 - 12 - 2009
online
3 - 10 - 2009
Contributors
author
  • Emergency Center, Institute of Cardiovascular Diseases, University Clinical Center of Serbia, 11000, Belgrade, Serbia
author
  • Department of Digestive Surgery, Institute of Digestive System Diseases, University Clinical Center of Serbia, 11000, Belgrade, Serbia
References
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  • [2] Devereaux P.J., Goldman L., Cook D.J., Gilbert K., Leslie K., Guyatt G.H., Perioperative cardiac events in patients undergoing noncardiac surgery: a review of the magnitude of the problem, the pathophysiology of the events and methods to estimate and communicate risk, review synthese, CMAJ, 2005, 173(6), 627–634
  • [3] Eagle K.A., Berger P.B., Calkins H., Chaitman B.R., Ewy G.A., Fleischmann K.E., et al, ACC/AHA Guideline Update on Perioperative Cardiovascular for Noncardiac Surgery 2002, A report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee to Update the 1996 Guidelines on Perioperative Cardiovascular Evaluation for Noncardiac Surgery), J. Am. Coll. Cardiol., 2002, 39(3),542–553 http://dx.doi.org/10.1016/S0735-1097(01)01788-0[Crossref][WoS]
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  • [5] Rohde L.E., Polanczyk C.A., Goldman L., Cook E.F., Lee R.T., Lee T.H. et al. Usefulness of transthoracic echocardiography as a tool for risk stratification of patients undergoing major noncardiac surgery, Am. J. Cardiol., 2001, 87(5), 505–509 http://dx.doi.org/10.1016/S0002-9149(00)01421-1[Crossref]
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Document Type
Publication order reference
Identifiers
YADDA identifier
bwmeta1.element.-psjd-doi-10_2478_s11536-009-0063-0
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