Cardiac Arrhythmia, Cardiac Ischemia, Perioperative Complication, Perioperative Injury
Conditions
Keywords
myocardial injury, Perioperative injury
Brief summary
The purpose of this study to determine the prognostic value of the Selvester QRS score for perioperative myocardial injury following elective non-cardiac surgery.
Detailed description
This study was designed as an investigator-directed, non-commercial, observational, prospective, national, single-center study. The effect of preoperative complex ECG changes on the formation of cardiac damage will be studied. The data of the people participating in the study will be kept entirely confidential. After being informed about the study, all patients giving written informed consent will undergo preoperative evaluation. An ECG and cardiac troponin analysis will be performed to the patients who meet the eligibility. After the surgery will be completed control cardiac troponin and extensive physical examination will be performed.
Interventions
DIAGNOSTIC_TESTSelvester QRS Score with Preoperative ECG
Selvester QRS score will be calculated with the preoperative ECG of the patients.
Sponsors
Istanbul University - Cerrahpasa
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to 90 Years
Healthy volunteers
No
Inclusion criteria
* Patients who undergoing elective non-cardiac surgery in the operating room * ≥18 years old * Interpretable preoperative ECG of the patient * Preoperative negative high sensitive Cardiac Troponin T * ASA I-III class * Patients who give the informed consent
Exclusion criteria
* A history of myocardial infarction, coronary artery disease, PCI and revascularization * A history of chronic renal disease, cerebrovascular incident, stroke * ASA class IV * Patients who do not give the informed consent * Patients who undergoing emergency surgery * Patients whose preoperative ECG is not interpretable * Minor procedures to be performed outside or inside the operating room
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| The prediction of perioperative cardiac injury with preoperative Selvester ECG Score | Change from Baseline cardiac troponin levels at postoperative 1st hour in PACU | Selvester ECG score is a validated technique for predicting myocardial scar and injury level in patients who undergone PCI. It is aimed to predict and demonstrate perioperative myocardial damage using this algorithm. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| The prediction of preoperative high-sensitivity troponin and ECG abnormalities on arrhythmia susceptibility. | Arrhythmia surveillance during peroperative and postoperative 1st hour in PACU | The prediction of preoperative high-sensitivity troponin and ECG abnormalities on arrhythmia susceptibility by monitoring the cardiac rhythm |
| Effect of preoperative cardiac assessment on postoperative cardiac adverse event | Cardiac adverse event surveillance during peroperative and postoperative 24 hours | Effect of preoperative cardiac assessment on postoperative cardiac adverse event |
| Determination of postoperative intensive care hospitalizations for cardiac reasons | postoperative intensive care hospitalizations for cardiac reasons until postoperative 24 hours | Determination of the reasons of the postoperative intensive care unit hospitalizations for cardiac reasons. |
Countries
Turkey (Türkiye)
Outcome results
None listed