Adverse Cardiac Events, Carotid Endarterectomy, Carotid Stenosis
Conditions
Keywords
carotid endarterectomy, adverse cardiac events
Brief summary
Carotid endarterectomy is the operation for curing the significant carotid artery stenotic patients who are also at high cardiac risk. This retrospective study is to find out the incidence and risk factors related.
Detailed description
The investigator plan to retrospectively investigate 175 carotid endarterectomy patients in Siriraj hospital to find the incidences of major adverse cardiac events, including * Myocardial infarction is defined as rising of cardiac bio-markers in the setting of myocardial ischemia (Relevant anginal symptoms, ECG changes or Imaging e.g. Echocardiography)2,10 * Significant arrhythmia is defined as symptomatic or causing hemodynamic changes without other explainable causes. * Heart failure is defined according to Modified Framingham criteria3 * Cardiac death is defined as mortality in association and as a direct result from myocardial infarction, arrhythmia or heart failure if possible, the investigators will try to find the associate or risk factors for those events.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* Every patients undergoing carotid endarterectomy in Siriraj hospital
Exclusion criteria
* Patients with other simultaneous surgery with carotid endarterectomy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Incidence of major adverse cardiac events after carotid endarterectomy | 7 days | Major adverse cardiac event included myocardial infarction, significant arrhythmia, heart failure and cardiac arrest |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| associate factors with adverse cardiac event | 7 days | Analysis of potential factors associated with major adverse cardiac event after carotid endarterectomy |
| other adverse events | 7 days | respiratory complications, such as re-intubation, aspiration Neurologic complication, such as stroke length of hospital stay, ICU admission, length of ICU stay |
Countries
Thailand