INTRAOPERATIVE RISK FACTORS OF MYOCARDIAL INFARCTION IN NON-CARDIAC SURGERIES
https://doi.org/10.21292/2078-5658-2018-15-2-32-37
Abstract
The objective of the study: to find peri-operative risk factors of myocardial infarction during the intra-operative period in the patients undergoing non-cardiac surgery.
Subjects and methods. 85 case histories of patients were analyzed, all those patients developed myocardial infarction after surgeries (non-cardiac) in the post-operative period. Clinical and electrocardiogram parameters, outcomes of peri-operative myocardial infarction and its intra-operative risk factors were analyzed. The comparison group included 80 patients who had surgeries with the favorable course of the post-operative period.
Results: 72.9% of cases developed myocardial infection in the post-operative period with the 1st day after surgery and had blurring clinical signs of it: it was not accompanied by pain syndrome in 23.5% of cases, and there was no ST elevation on ECG in 69.4% of cases. Risk factors of myocardial infection in the post-operative period were the following: duration of surgery for more than 90 minutes, intra-operative hypotension (systolic arterial pressure < 100 mm Hg.) for more than 10 minutes, anemia with hemoglobin level less than 70 g/l, cardiac rhythm in the peri-operative period more than 90 bpm. Results of the logistic multi-factorial analysis showed that reduction of systolic arterial pressure less than 100 mm Hg., OR 4.24 (1.181–15.20), p = 0.026, was the only independent risk factor of myocardial infarction.
About the Authors
Z. Т. Kotvitskаya
Municipal Clinical Hospital no. 40
Russian Federation
Russian Federation
Zinaida T. Kotvitskaya – Physician, Cardiologist of Therapy Department no. 1
Municipal Clinical Hospital no. 40
G. B. Kolotovа
Municipal Clinical Hospital no. 40;
Ural State Medical University
Russian Federation
Russian Federation
Galina B. Kolotova – Doctor of Medical Sciences, Deputy Chief Doctor for Medical Activities
Municipal Clinical Hospital no. 40
V. А. Rudnov
Municipal Clinical Hospital no. 40;
Ural State Medical University
Russian Federation
Russian Federation
Vladimir A. Rudnov – Doctor of Medical Sciences, Professor, Deputy Chief Doctor for Anesthesiology and Intensive Care
Municipal Clinical Hospital no. 40
V. A. Bаgin
Municipal Clinical Hospital no. 40
Russian Federation
Russian Federation
Vladimir A. Bagin – Candidate of Medical Sciences, Head of Anesthesiology and Intensive Care Department
Municipal Clinical Hospital no. 40
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Review
For citations:
Kotvitskаya Z.Т., Kolotovа G.B., Rudnov V.А., Bаgin V.A. INTRAOPERATIVE RISK FACTORS OF MYOCARDIAL INFARCTION IN NON-CARDIAC SURGERIES. Messenger of ANESTHESIOLOGY AND RESUSCITATION. 2018;15(2):32-37. (In Russ.) https://doi.org/10.21292/2078-5658-2018-15-2-32-37
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