Detection of Preoperative Cardiac Abnormalities in Asymptomatic Patients Undergoing Low to Intermediate Risk Non-Cardiac Surgery | ||
| The Egyptian Journal of Hospital Medicine | ||
| Article 53, Volume 95, Issue 1, April 2024, Pages 1630-1636 PDF (337.9 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejhm.2024.352203 | ||
| Abstract | ||
| Background: In patients having non-cardiac surgery, perioperative cardiovascular problems constitute the primary contributor to both morbidity and death. Objective: Uncovering hidden cardiac problems among asymptomatic patients that may cause complications during and after low to intermediate risk non-cardiac surgery. Subjects and Methods: The study was conducted on 300 cases; and all of them were subjected to full preoperative cardiac assessment including full history taking, clinical examination, laboratory investigations, 12-lead surface ECG and transthoracic echocardiography to exclude any case with significant heart disease. All patients were followed up during hospital stay for assessment of perioperative complications. Results: Regarding incidence of complications and types of cardiac complications distribution among study groups, 275 patients (91.7%) had no complications and 25 patients (8.3%) had complications in the form of: sinus tachycardia (5 patients “1.7%”), hypotension (4 patients “1.3%”), Supra ventricular tachycardia (4 patients “1.3%”), arrested (3 patients “1.0%”), venous thrombosis (3 patients “1.0%”), Atrial fibrillation (2 patients “0.7%”), pulmonary embolism (2 patients “0.7%”), acute pulmonary edema (one patient “0.3%”) and suspected pulmonary embolism (one patient “0.3%”). Conclusion: There was a statistically significant increase in postoperative complications among cardiac patients who did not exhibit any symptoms. The clinical and predictive use of routine preoperative electrocardiography (ECG) and echocardiography (ECHO) in persons having low- to intermediate-risk surgery for major cardiac adverse events is limited. | ||
| Keywords | ||
| Asymptomatic Cardiac Abnormalities; Non-Cardiac Surgery | ||
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