None listed
Conditions
Interventions
None listed
Sponsors
Yonsei University Yongin Severance Hospital
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. The patient who has at least one cardiovascular risk factor among patients undergoing non-cardiac major surgery (1) Non-cardiac major surgery ? Major orthopedic surgery ? Major General Surgery ? Major urology or gynecology surgery ? Major neurosurgery ? Major vascular surgery ? Major thoracic surgery (2) Cardiovascular risk factors ? Age (over 65 years old) ? Coronary artery disease ? Peripheral artery disease ? History of stroke or transient ischemic accident ? Diabetes Mellitus ? Chronic kidney disease ? Heart failure ? Uncontrolled hypertension (Systolic blood pressure over 140 mmHg despite hypertension) ? Q wave, T inversion, or ST depression in electrocardiogram 2. Over 45-year old 3. Informed consent
Exclusion criteria
Exclusion criteria: (1) A person who is unable to understand the purpose and method of this clinical trial due to more than moderate degree of dementia, mental illness or neurological disease (2) Low risk minor surgery : ear/nose/throat surgery, ophthalmology, thyroid, parathyroid, breast, local anorectal procedure, breast, salpingectomy, endometrial ablation, peripheral nerve surgery, cosmetic surgery, hand surgery, arterio-venous access surgery for dialysis (3) left ventricular ejection fraction below 40% on transthoracic echocardiography (4) Regional wall motion abnormality on transthoracic echocardiography (5) More than moderate degree of valvular heart disease on transthoracic echocardiography (6) Left bundle branch block on electrocardiogram (7) Atrial fibrillation on electrocardiogram
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The composite of all-cause mortality, aborted sudden cardiac death, congestive heart failure, coronary revascularization | — |
Secondary
| Measure | Time frame |
|---|---|
| individual parameters of primary outcome, ischemic and hemorrhagic stroke | — |
Countries
Korea, Republic of
Contacts
Public ContactMinkwan Kim
Yonsei University Yongin Severance Hospital
Outcome results
None listed