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临床试验/NCT02250963
NCT02250963终止不适用

Prognostic Accuracy of Coronary CT and Dobutamine Stress Echocardiography in Patient Undergoing Non-cardiac Surgery

Gyeongsang National University Hospital1 个研究点 分布在 1 个国家目标入组 220 人开始时间: 2014年7月最近更新:
适应症

试验速览

阶段
不适用
状态
终止
入组人数
220
试验地点
1
主要终点
Diagnostic accuracy of DES vs. CTCA in the prediction of the postoperative hard cardiac events in patients undergoing intermediate to high risk noncardiac surgeries

研究概览

简要总结

This study aimed to compare dobutamine stress echocardiography (DES) with computed tomography coronary angiography (CTCA) in patients with undergoing intermediate to high risk noncardiac surgery.

研究设计

研究类型
Observational
观察模型
Case Only
时间视角
Prospective

入排标准

年龄范围
20 Years 至 —(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Elective surgery
  • Intermediate or high-risk noncardiac surgeries 1) intermediate risk surgery: intrathoracic, intraperitoneal, orthopedic,head and neck, and prostate 2) high risk surgery: vascular
  • Revised cardiac risk index score ≥1 (more than one of the following criteria) 1) vascular surgery, intraperitoneal, intrathoracic surgery 2) history of ischemic heart disease 3) history of heart failure 4) history of cerebrovascular disease 5) diabetes with insulin treatment 6) chronic kidney disease (serum creatinine > 2.0 mg/dL)

排除标准

  • Need for emergency surgery
  • Active cardiac conditions 1) recent (within 1 month) myocardial infarction 2) acute decompensated heart failure 3) severe valvular disease 4) fatal cardiac arrhythmia 5) acute pulmonary embolism 6) acute myocarditis
  • Relative contraindications or immeasurable coronary stenosis of the CTCA

结局指标

主要结局

Diagnostic accuracy of DES vs. CTCA in the prediction of the postoperative hard cardiac events in patients undergoing intermediate to high risk noncardiac surgeries

时间窗: 1 month

Diagnostic performance includes sensitivity, specificity, positive and negative predictive values, and receiver operator curve area under the curve. Postoperative hard cardiac events were defined as cardiac death, non-fatal myocardial infarction.

次要结局

  • Diagnostic accuracy of DES and/or CTCA compared to revised cardiac risk score (RCRI) alone.(1 month)
  • Diagnostic accuracy of DES vs. CTCA in the prediction of the perioperative all cardiovascular events in patients undergoing intermediate to high risk noncardiac surgeries.(1 month)

研究者

申办方类型
Other
责任方
Sponsor

研究点 (1)

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