Role of preoperative echocardiography for prevention of cardiovascular event after non-cardiac surgery; Prospective observational study for high-risk group
Not Applicable
Recruiting
- Conditions
- Injury, poisoning and certain other consequences of external causes
- Registration Number
- KCT0006280
- Lead Sponsor
- Samsung Medical Center
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Recruiting
- Sex
- All
- Target Recruitment
- 2184
Inclusion Criteria
1. A patient expected to undergo intermediate-risk non-cardiac surgery according to the ESC/AHA guidelines and have three or more clinical cardiovascular risk factors from the revised cardiac risk index.
2. A patients without compelling indication for the echocardiography.
Exclusion Criteria
1. A patient undergoing low-risk non-cardiac surgery according to ESC/AHA guidelines.
2. A patient undergoing intermediate-risk non-cardiac surgery according to ESC/AHA guidelines and have two or less clinical cardiovascular risk factors.
3. A patient whose life expectancy is less than 6 months.
4. A patient undergoing emergent surgery.
5. Functional capacity < 4 METs.
Study & Design
- Study Type
- Observational Study
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method A composite of all-cause death, aborted sudden cardiac arrest, type I myocardial infarction, unstable angina, stress-induced cardiomyopathy, lethal arrhythmia such as sustained ventricular tachycardia or ventricular fibrillation and heart failure.
- Secondary Outcome Measures
Name Time Method A composite of non-lethal arrhythmia such as non-sustained ventricular tachycardia or atrial fibrillation, cerebrovascular attack, transient ischemic attack, systemic embolization, pulmonary thromboembolism, type II myocardial infarction and elevation of NT-proBNP. ;cases in which cardiac interventions are necessary before surgery or significant cardiac disease are newly detected.