Cardiovascular imaging following perioperative myocardial infarction/injury.

Autor: Arslani K; Department of Cardiology and Cardiovascular Research Institute Basel (CRIB), University Hospital Basel, University of Basel, Basel, Switzerland., Gualandro DM; Department of Cardiology and Cardiovascular Research Institute Basel (CRIB), University Hospital Basel, University of Basel, Basel, Switzerland. danielle.gualandro@usb.ch.; Unidade de Medicina Interdisciplinar em Cardiologia, Instituto do Coração, Hospital das Clínicas HCFMUSP, Faculdade de Medicina, Universidade de São Paulo, São Paulo, Brazil. danielle.gualandro@usb.ch., Puelacher C; Department of Cardiology and Cardiovascular Research Institute Basel (CRIB), University Hospital Basel, University of Basel, Basel, Switzerland.; Department of Internal Medicine, University Hospital Basel, University of Basel, Basel, Switzerland., Lurati Buse G; Department of Anaesthesiology, University Hospital Düsseldorf, Düsseldorf, Germany.; Department of Anaesthesiology, University Hospital Basel, University Basel, Basel, Switzerland., Lampart A; Department of Anaesthesiology, University Hospital Basel, University Basel, Basel, Switzerland., Bolliger D; Department of Anaesthesiology, University Hospital Basel, University Basel, Basel, Switzerland., Schulthess D; Department of Cardiology and Cardiovascular Research Institute Basel (CRIB), University Hospital Basel, University of Basel, Basel, Switzerland., Glarner N; Department of Cardiology and Cardiovascular Research Institute Basel (CRIB), University Hospital Basel, University of Basel, Basel, Switzerland., Hidvegi R; Department of Cardiology and Cardiovascular Research Institute Basel (CRIB), University Hospital Basel, University of Basel, Basel, Switzerland.; Department of Anaesthesiology, Kantonsspital St. Gallen, St. Gallen, Switzerland., Kindler C; Department of Anaesthesiology, Kantonsspital Aarau, Aarau, Switzerland., Blum S; Department of Cardiology and Cardiovascular Research Institute Basel (CRIB), University Hospital Basel, University of Basel, Basel, Switzerland., Cardozo FAM; Unidade de Medicina Interdisciplinar em Cardiologia, Instituto do Coração, Hospital das Clínicas HCFMUSP, Faculdade de Medicina, Universidade de São Paulo, São Paulo, Brazil., Caramelli B; Unidade de Medicina Interdisciplinar em Cardiologia, Instituto do Coração, Hospital das Clínicas HCFMUSP, Faculdade de Medicina, Universidade de São Paulo, São Paulo, Brazil., Gürke L; Department of Vascular Surgery, University Hospital Basel, University of Basel, Basel, Switzerland., Wolff T; Department of Vascular Surgery, University Hospital Basel, University of Basel, Basel, Switzerland., Mujagic E; Department of Vascular Surgery, University Hospital Basel, University of Basel, Basel, Switzerland., Schaeren S; Department of Spinal Surgery, University Hospital Basel, University of Basel, Basel, Switzerland., Rikli D; Department Orthopedic Surgery, University Hospital Basel, University of Basel, Basel, Switzerland., Campos CA; Unidade de Medicina Interdisciplinar em Cardiologia, Instituto do Coração, Hospital das Clínicas HCFMUSP, Faculdade de Medicina, Universidade de São Paulo, São Paulo, Brazil., Fahrni G; Department of Cardiology and Cardiovascular Research Institute Basel (CRIB), University Hospital Basel, University of Basel, Basel, Switzerland., Kaufmann BA; Department of Cardiology and Cardiovascular Research Institute Basel (CRIB), University Hospital Basel, University of Basel, Basel, Switzerland., Haaf P; Department of Cardiology and Cardiovascular Research Institute Basel (CRIB), University Hospital Basel, University of Basel, Basel, Switzerland., Zellweger MJ; Department of Cardiology and Cardiovascular Research Institute Basel (CRIB), University Hospital Basel, University of Basel, Basel, Switzerland., Kaiser C; Department of Cardiology and Cardiovascular Research Institute Basel (CRIB), University Hospital Basel, University of Basel, Basel, Switzerland., Osswald S; Department of Cardiology and Cardiovascular Research Institute Basel (CRIB), University Hospital Basel, University of Basel, Basel, Switzerland., Steiner LA; Department of Anaesthesiology, University Hospital Basel, University Basel, Basel, Switzerland., Mueller C; Department of Cardiology and Cardiovascular Research Institute Basel (CRIB), University Hospital Basel, University of Basel, Basel, Switzerland.
Jazyk: angličtina
Zdroj: Scientific reports [Sci Rep] 2022 Mar 15; Vol. 12 (1), pp. 4447. Date of Electronic Publication: 2022 Mar 15.
DOI: 10.1038/s41598-022-08261-6
Abstrakt: Patients developing perioperative myocardial infarction/injury (PMI) have a high mortality. PMI work-up and therapy remain poorly defined. This prospective multicenter study included high-risk patients undergoing major non-cardiac surgery within a systematic PMI screening and clinical response program. The frequency of cardiovascular imaging during PMI work-up and its yield for possible type 1 myocardial infarction (T1MI) was assessed. Automated PMI detection triggered evaluation by the treating physician/cardiologist, who determined selection/timing of cardiovascular imaging. T1M1 was considered with the presence of a new wall motion abnormality within 30 days in transthoracic echocardiography (TTE), a new scar or ischemia within 90 days in myocardial perfusion imaging (MPI), and Ambrose-Type II or complex lesions within 7 days of PMI in coronary angiography (CA). In patients with PMI, 21% (268/1269) underwent at least one cardiac imaging modality. TTE was used in 13% (163/1269), MPI in 3% (37/1269), and CA in 5% (68/1269). Cardiology consultation was associated with higher use of cardiovascular imaging (27% versus 13%). Signs indicative of T1MI were found in 8% of TTE, 46% of MPI, and 63% of CA. Most patients with PMI did not undergo any cardiovascular imaging within their PMI work-up. If performed, MPI and CA showed high yield for signs indicative of T1MI.Trial registration: https://clinicaltrials.gov/ct2/show/NCT02573532 .
(© 2022. The Author(s).)
Databáze: MEDLINE
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