Prognostic Value of the Selvester QRS Score for Perioperative Myocardial Injury Following Non-cardiac Surgery

Istanbul University - Cerrahpasa400 enrolled

Overview

The purpose of this study to determine the prognostic value of the Selvester QRS score for perioperative myocardial injury following elective non-cardiac surgery.

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.

Study Type

OBSERVATIONAL

Enrollment

400

Conditions

Cardiac Ischemia Cardiac Arrhythmia Perioperative Injury Perioperative Complication

Interventions

Selvester QRS Score with Preoperative ECGDIAGNOSTIC_TEST

Selvester QRS score will be calculated with the preoperative ECG of the patients.

Eligibility

Sex: ALLMin age: 18 YearsMax age: 90 Years

Medical Language ↔ Plain English

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

Locations (1)

Istanbul University-Cerrahpasa

Istanbul, Fatih, Turkey (Türkiye)

Outcomes

Primary Outcomes

The prediction of perioperative cardiac injury with preoperative Selvester ECG Score

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.

Time frame: Change from Baseline cardiac troponin levels at postoperative 1st hour in PACU

Secondary Outcomes

The prediction of preoperative high-sensitivity troponin and ECG abnormalities on arrhythmia susceptibility.

The prediction of preoperative high-sensitivity troponin and ECG abnormalities on arrhythmia susceptibility by monitoring the cardiac rhythm

Time frame: Arrhythmia surveillance during peroperative and postoperative 1st hour in PACU

Effect of preoperative cardiac assessment on postoperative cardiac adverse event

Time frame: Cardiac adverse event surveillance during peroperative and postoperative 24 hours

Determination of postoperative intensive care hospitalizations for cardiac reasons

Determination of the reasons of the postoperative intensive care unit hospitalizations for cardiac reasons.

Time frame: postoperative intensive care hospitalizations for cardiac reasons until postoperative 24 hours

Data from ClinicalTrials.gov

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