A Study Of Perioperative Cardiovascular Events In Non-Cardiac Surgery

A Study Of Perioperative Cardiovascular Events In Non-Cardiac Surgery

  • Dr. Prashant Bhansali Associate Professor,Department Of General Medicine, AMC MET Medical College, Ahmedabad - 380008, India
  • Dr. Ashish Patel MD General Medicine,Department Of General Medicine, AMC MET Medical College, Ahmedabad - 380008, India
  • Dr. Anjali Oza 2nd Year Resident Doctor, Department Of General Medicine, AMC MET Medical College, Ahmedabad - 380008, India
Keywords: Cardiac Risk Factors, Postoperative Period, Diabetes Mellitus, Hypertension

Abstract

Background: Perioperative evaluation is an important step before considering a patient for surgery to deal with cardiovascular risk factors. The aim of the study is to evaluate the risk of cardiovascular events during perioperative period in non-cardiac & non-vascular surgery, even in patients with no previous evidence of cardiac disease. Material And Methods: All patients admitted in Orthopaedic, Surgery, Gynaecology department were evaluated clinically as well as with laboratory and radiological investigation. All patients with age > 40 years were subjected to electrocardiography. All the data was collected & recorded in standard Proforma. Clinical evaluation was done preoperatively & 24 hour post operatively. In patients developing cardiovascular complications, additional evaluation was done on the basis of need. Result: Highest number of patients undergoing elective non-cardiac surgery belonged to the younger age group. General surgery had the highest number of patients 45.3%, followed by Orthopaedics (36%), Gynaecology (18.7%). In view of surgery done by 3 above-mentioned surgical branches, there was not much difference in the rate of risk of cardiovascular events. Diabetes mellitus, hypertension, and cardiac diseases were found as frequent risk factors (44 (29.3%), 52 (34.6%), 26 (17.3%) respectively.) Postoperative cardiovascular complication rate was most commonly seen in cardiac diseases, which were 8 (30.7%) patients. The incidence of perioperative cardiac complication in our study was 8.7% with 4% mortality. Conclusion: The incidence of complication was highest in patients undergoing high risk surgeries like intraperitoneal surgery. The RCRI classification was a good preoperative tool for risk stratification of patients undergoing non-cardiac surgery. [Bhansali P Natl J Integr Res Med, 2022; 13(1):23 -26, Published on 26/01/2022]

Published
2022-01-26
How to Cite
Dr. Prashant Bhansali, Dr. Ashish Patel, & Dr. Anjali Oza. (2022). A Study Of Perioperative Cardiovascular Events In Non-Cardiac Surgery: A Study Of Perioperative Cardiovascular Events In Non-Cardiac Surgery. National Journal of Integrated Research in Medicine, 13(1), 23-26. Retrieved from http://nicpd.ac.in/ojs-/index.php/njirm/article/view/3394
Section
Original Articles