Health Condition 1: I251- Atherosclerotic heart disease of native coronary artery
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Patients with prior history of coronary artery disease will be defined as having any one of the following: i) Definite CAD as indicated by a previous history of MI, typical angina or ECG changes suggestive of previous MI without a documented history of MI ii) Patient who underwent coronary artery reperfusion therapy including previous fibrinolytic therapy, percutaneous coronary intervention and coronary angioplasty. Patient at risk of coronary artery disease will be defined as those with age 45 yr or older and had at least one of the following major cardiac risk factors34: 1) Diabetes mellitus 2) Peripheral artery disease (i.e. intermittent claudication or history of vascular surgery except arteriovenous shunt and vein-stripping procedures) 3) History of hospitalization for congestive heart failure 4) Renal insufficiency (defined as preoperative creatinine >150 µmol litre-1) 5) History of cerebral vascular event 6) Aortic valve stenosis (defined as aortic valve area 7) Atrial fibrillation 8) Moderate or poor left ventricular function (defined as left ventricular ejection fraction
Exclusion criteria
Exclusion criteria: Patients will be excluded from study participation if they had no signed informed consent.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary outcome of our study is to determine the incidence of perioperative Major Adverse Cardiac Events in cardiac patients undergoing non cardiac surgery and all cause 30 day and 1 year mortality rate in these patients.Timepoint: 30 days and 1 year | — |
Secondary
| Measure | Time frame |
|---|---|
| The secondary outcome is to determine whether high sensitive cardiac troponin T or pro-BNP is more accurate in predicting Major Adverse cardiac Events.Timepoint: At preoperative stage, 24 hours following surgery and 72 hours following surgery. | — |
Countries
India
Contacts
Postgraduate Institute of Medical Education and Research, Chandigarh