Prognostic Value of the Selvester QRS Score for Perioperative Myocardial Injury Following Non-cardiac Surgery
试验速览
- 阶段
- 不适用
- 状态
- 进行中（未招募）
- 发起方
- 入组人数
- 400
- 试验地点
- 1
- 主要终点
- The prediction of perioperative cardiac injury with preoperative Selvester ECG Score
研究概览
简要总结
The purpose of this study to determine the prognostic value of the Selvester QRS score for perioperative myocardial injury following elective non-cardiac surgery.
详细描述
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.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 90 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •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
排除标准
- •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
结局指标
主要结局
The prediction of perioperative cardiac injury with preoperative Selvester ECG Score
时间窗: Change from Baseline cardiac troponin levels at postoperative 1st hour in PACU
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.
次要结局
- Determination of postoperative intensive care hospitalizations for cardiac reasons(postoperative intensive care hospitalizations for cardiac reasons until postoperative 24 hours)
- The prediction of preoperative high-sensitivity troponin and ECG abnormalities on arrhythmia susceptibility.(Arrhythmia surveillance during peroperative and postoperative 1st hour in PACU)
- Effect of preoperative cardiac assessment on postoperative cardiac adverse event(Cardiac adverse event surveillance during peroperative and postoperative 24 hours)
研究者
Deniz Mutlu
Fellow
Istanbul University - Cerrahpasa (IUC)