Prognostic Value of the Selvester QRS Score for Perioperative Myocardial Injury Following Non-cardiac Surgery

Istanbul University - Cerrahpasa (IUC)

Status: Active, not recruiting

Conditions: Perioperative Complication; Cardiac Arrhythmia; Cardiac Ischemia; Perioperative Injury

Treatments: Diagnostic Test: Selvester QRS Score with Preoperative ECG

Study type: Observational

Funder types: Other

Identifiers

NCT05453097

2022/172

Details and patient eligibility

About

The purpose of this study to determine the prognostic value of the Selvester QRS score for perioperative myocardial injury following elective non-cardiac surgery.

Full description

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.

Enrollment: 400 estimated patients

Sex: All

Ages: 18 to 90 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• 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

Exclusion criteria

• 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

Trial design

400 participants in 2 patient groups

Perioperative Myocardial Injury Occured

Description:

Patients with troponin elevation from the preoperative basal level do not meet the criteria for myocardial infarction according to the fourth universal myocardial infarction guideline, do not describe active anginal complaints, and underwent surgery in the operating room.

Treatment:

Diagnostic Test: Selvester QRS Score with Preoperative ECG

Perioperative Myocardial Injury Not Occured

Description:

Patients without troponin elevation from the preoperative basal level, do not describe active anginal complaints, and underwent surgery in the operating room.

Treatment:

Diagnostic Test: Selvester QRS Score with Preoperative ECG