PMID- 35344585
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20230705
IS  - 1897-4279 (Electronic)
IS  - 0022-9032 (Linking)
VI  - 80
IP  - 5
DP  - 2022
TI  - Prognostic value of preoperative electrocardiography in predicting myocardial 
      injury after vascular surgery.
PG  - 553-559
LID - 10.33963/KP.a2022.0085 [doi]
AB  - BACKGROUND: The current European guidelines recommend that a preoperative 
      electrocardiogram (ECG) should be performed routinely in patients scheduled for 
      high-risk surgery. However, the evidence regarding ECG as a predictor of 
      perioperative cardiac complications is weak. AIM: To evaluate the association of 
      preoperative ECG with short- and long-term outcomes in patients undergoing 
      high-risk vascular procedures. METHODS: This was a substudy of the international 
      Vascular events In noncardiac Surgery patIents cohort evaluatioN (VISION) Study 
      and included consecutive patients undergoing vascular procedures in a single 
      tertiary center. In each patient, a preoperative 12-lead ECG was evaluated by two 
      experienced clinicians following the Polish Cardiac Society recommendations. We 
      performed routine perioperative troponin monitoring at five time points (one 
      preoperative and four postoperative measurements) to evaluate whether 
      preoperative ECG abnormalities are associated with myocardial injury after 
      noncardiac surgery (MINS) and 1-year major adverse cardiovascular events (MACE) 
      including cardiac death, myocardial infarction, and stroke. RESULTS: The study 
      group comprised 348 patients, 80.5% of whom were male and the median age 
      (interquartile range [IQR]) was 65 (59-72) years. The incidence of MINS and 
      1-year MACE was 18.7% and 14.4%, respectively. Multivariable analysis showed that 
      none of the predefined ECG abnormalities (ST depression, left axis deviation, 
      atrial fibrillation, and bundle branch block) was associated with the incidence 
      of MINS or 1-year MACE. CONCLUSION: This study confirmed that preoperative ECG 
      abnormalities are frequent in patients undergoing high-risk vascular surgery. 
      However, we did not find evidence supporting the relation between preoperative 
      ECG abnormalities and postoperative adverse cardiac outcomes in high-risk 
      patients.
FAU - Studzinska, Dorota
AU  - Studzinska D
AD  - Department of Vascular Surgery and Angiology, St. John Grande Hospital, Krakow, 
      Poland. wojciech.szczeklik@uj.edu.pl.
AD  - Center for Intensive Care and Perioperative Medicine, Jagiellonian University 
      Medical College, Krakow, Poland. wojciech.szczeklik@uj.edu.pl.
FAU - Polok, Kamil
AU  - Polok K
AD  - Center for Intensive Care and Perioperative Medicine, Jagiellonian University 
      Medical College, Krakow, Poland.
FAU - Rewerska, Barbara
AU  - Rewerska B
AD  - Diamond Clinic, Krakow, Poland.
FAU - Kotynia, Maksymilian
AU  - Kotynia M
AD  - Maksymilian Kotynia Individual Medical Practice, Krakow, Poland.
FAU - Rewerski, Piotr
AU  - Rewerski P
AD  - Diamond Clinic, Krakow, Poland.
FAU - Wludarczyk, Anna
AU  - Wludarczyk A
AD  - Center for Intensive Care and Perioperative Medicine, Jagiellonian University 
      Medical College, Krakow, Poland.
FAU - Gorka, Jacek
AU  - Gorka J
AD  - Center for Intensive Care and Perioperative Medicine, Jagiellonian University 
      Medical College, Krakow, Poland.
FAU - Kozka, Mateusz
AU  - Kozka M
AD  - Department of Vascular Surgery and Angiology, St. John Grande Hospital, Krakow, 
      Poland.
FAU - Szczeklik, Wojciech
AU  - Szczeklik W
AD  - Center for Intensive Care and Perioperative Medicine, Jagiellonian University 
      Medical College, Krakow, Poland.
LA  - eng
PT  - Journal Article
DEP - 20220328
PL  - Poland
TA  - Kardiol Pol
JT  - Kardiologia polska
JID - 0376352
SB  - IM
OTO - NOTNLM
OT  - major adverse cardiovascular events
OT  - myocardial injury after noncardiac surgery
OT  - preoperative electrocardiography
EDAT- 2022/03/29 06:00
MHDA- 2022/03/29 06:01
CRDT- 2022/03/28 17:10
PHST- 2022/03/28 00:00 [received]
PHST- 2022/03/28 00:00 [accepted]
PHST- 2022/03/29 06:01 [medline]
PHST- 2022/03/29 06:00 [pubmed]
PHST- 2022/03/28 17:10 [entrez]
AID - VM/OJS/J/89278 [pii]
AID - 10.33963/KP.a2022.0085 [doi]
PST - ppublish
SO  - Kardiol Pol. 2022;80(5):553-559. doi: 10.33963/KP.a2022.0085. Epub 2022 Mar 28.