1.Patient with cardiovascular risk 2.Patient undergoing intermediate-to-high risk non-cardiac surgery troponin, pre-operative, non-cardiac surgery, echocardiogram
Conditions
Interventions
Serum high-sensitivity troponin T in addition to usual peri-operative care. Troponin level will guided the management before going to non-cardiac surgery. Patients with elevated values will undergo a
Troponin-guided group,Usual care group
Sponsors
Faculty of Medicine, Chiang Mai University
Eligibility
Sex/Gender
All
Age
20 Years to 80 Years
Inclusion criteria
Inclusion criteria: 1.Age more than 20 years 2.The presence of CV risk as one of the following: a. Patient age more 65 years b. Patients with established cardiovascular disease (CVD) including, coronary artery disease, cardiomyopathy, heart failure, valvular heart disease, cerebrovascular disease, aortic disease, peripheral artery disease c. Patients with one of the following cardiovascular factors: hypertension, current smoking, dyslipidemia, diabetes mellitus, family history of CVD.
Exclusion criteria
Exclusion criteria: 1. Emergency surgery (operation operate within 24 hours) 2. Patient with active cardiac condition, including unstable angina, recent myocardial infarction within 3 months, recent unstable arrhythmias, active heart failure within 3 months 3. Recent stroke within 3 months
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Post-operative myocardial injury (PMI) is defined as a significant rise in post-operative troponin T levels above the 99th percentile upper reference limit compared to baseline. 30 days Number of event | — |
Secondary
| Measure | Time frame |
|---|---|
| Composite of of all-cause mortality, myocardial infarction, and stroke 30 days Number of event | — |
Countries
Thailand
Contacts
Public ContactNabhat Noparatkailas
Faculty of Medicine, Chiang Mai University
Outcome results
None listed