Risk assessment in coronary patients undergoing abdominal nonvascular surgery

• Authors: Vesna Karapandzic , Mihailo Matic , Predrag Pesko , Vitomir Rankovic , Biljana Milicic
• Languages of publication: 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.

Keywords

EN

Coronary artery disease; Risk assessment; Noncardiac Surgery; Cardiac Complications

• Publisher: De Gruyter Open
• Journal: Open Medicine
• Year: 2009
• Volume: 4
• Issue: 4
• Pages: 459-466

Dates

published

1 - 12 - 2009

online

3 - 10 - 2009

Contributors

author

Vesna Karapandzic

author

Mihailo Matic

• Emergency Center, Institute of Cardiovascular Diseases, University Clinical Center of Serbia, 11000, Belgrade, Serbia

author

Predrag Pesko

• Department of Digestive Surgery, Institute of Digestive System Diseases, University Clinical Center of Serbia, 11000, Belgrade, Serbia

author

Vitomir Rankovic

author

Biljana Milicic

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Identifiers

DOI

10.2478/s11536-009-0063-0