Ríos GD, Gutiérrez GA

Language: Spanish
References: 16
Page: 178-182
PDF size: 272.85 Kb.

ABSTRACT

Introduction: Coronary artery calcium score is a diagnostic imaging study that can be useful for the anesthesiologist in the screening for coronary atherosclerosis. Objective: Relate the value of coronary calcium as a risk factor for presenting a major adverse cardiac event in the perioperative setting. Material and methods: Observational, retrospective, comparative and descriptive study, we enrolled all patients older than 18 years, both genders, with and without cardiovascular risk factors that had a coronary artery calcium score test before a non-cardiac surgery. We divided the population in two groups according to the coronary artery calcium score: 0-400 UH (group A) and > 400 UH (group B). We conducted a search in electronic medical records for reported major adverse cardiac events in the perioperative setting, we conducted U Mann-Whitney test for non-parametric data, the incidence of major adverse cardiac events was assessed with χ² tests. Results: There was a significant statistical differences (p = 0.05) between groups in relation with the incidence of perioperative major adverse cardiac events, in a multivariable regression logistic, we found a relation of MACE with a coronary calcium higher than 400 UH (p = 0.02) and the ASA classification score (p = 0.025), the prevalence of coronary artery calcium was 5.5% (n = 9), the risk of MACE is increased 4 fold with a coronary artery calcium higher than 400 UH (OR 4.27, p = 0.05, IC 95%: 0.98-20.35), lower values predict a favorable outcome against MACE (OR 0.23, p = 0.05, IC 95%: 0.049-1.11). Conclusion: The inclusion of other complementary studies to the perioperative evaluation like the coronary artery calcium detected by tomography, is a diagnostic tool that can guide the anesthesiologist for the risk estimation for present a major adverse cardiac event in the perioperative setting.

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EVIDENCE LEVEL

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