Predicting Myocardial Infarction After Abdominal Surgery: Clinical Scores & Biomarkers

Benha University

Status: Completed

Conditions: Myocardial Infarction

Treatments: Diagnostic Test: 12-lead electrocardiography

Study type: Observational

Funder types: Other

Identifiers

NCT06767943

Rc 6-11-2024

Details and patient eligibility

About

All patients undergoing non-cardiac surgery who met the inclusion criteria underwent a preoperative evaluation using specific assessment tools.

Following surgery, patients were closely monitored in the intermediate care unit for the first 24 hours for the development of acute myocardial infarction (AMI). AMI was diagnosed based on the presence of chest pain, elevated cardiac biomarkers, and specific electrocardiogram (ECG) and echocardiogram findings.

Enrollment: 30 patients

Sex: All

Ages: 45 to 65 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Patients older than 45,
• Patients of ASA-PS grade II-IV,
• Patients who prepared for non-cardiac surgeries of SSS of II-IV,
• Patients free of exclusion criteria,
• Patients signed the written consent for the study precipitation.

Exclusion criteria

• Patients of ASA-PS grade I or V,
• Patients younger than 60 years,
• Patients planned to undergo surgeries of SSS >IV,
• Patients were severely frail with CFS>6,
• Patients had abnormal preoperative electrocardiography (ECG),
• Patients had a history of previous major cardiac or cerebrovascular events,
• Patient had disturbed cognitive function, coagulopathy, severe anemia with hemoglobin concentration (HBC) < 7 gm/dl.

Trial design

30 participants in 1 patient group

Myocardial Infarction After Non-Cardiac Surgery (MINS) Syndrome Group

Treatment:

Diagnostic Test: 12-lead electrocardiography