Prediction of cardiac complications in vascular surgery: analysis of clinical cases
https://doi.org/10.37489/2949-1924-0090
EDN: KUSYUW
Abstract
The incidence of cardiac complications after non-cardiac surgeries remains extremely high. There are clinical guidelines that describe potential predictors of such complications. Three clinical cases of cardiac complications in patients after elective vascular surgeries are presented that could have been avoided using prognostic tests and pharmacological cardioprotective measures.
About the Authors
D. A. SokolovRussian Federation
Dmitry A. Sokolov, Cand. Sci. (Med.), Associate Professor, anesthesiologist-resuscitator
Department of Anesthesiology and Reanimatology
Yaroslavl
Competing Interests:
The authors declare no conflict of interest
A. N. Ganert
Russian Federation
Andrey N. Ganert, Cand. Sci. (Med.), Associate Professor, anesthesiologist-resuscitator
Department of Anesthesiology and Reanimatology
Yaroslavl
Competing Interests:
The authors declare no conflict of interest
P. S. Zhbannikov
Russian Federation
Peter S. Zhbannikov, Cand. Sci. (Med.), Associate Professor
Department of Anesthesiology and Reanimatology
Yaroslavl
Competing Interests:
The authors declare no conflict of interest
References
1. Murashko SS, Berns SA, Pasechnik IN. Cardiovascular complications in non-cardiac surgery: what remains out of sight? Cardiovascular Therapy and Prevention. 2024;23(1):3748. (In Russ.) doi: 10.15829/1728-8800-2024-3748. EDN: HYXPTE
2. Halvorsen S, Mehilli J, Cassese S. et al. ESC Scientific Document Group (2022). 2022 ESC Guidelines on cardiovascular assessment and management of patients undergoing non-cardiac surgery. European heart journal. 43(39):3826–3924. Doi: 10.1093/eurheartj/ehac270.
3. Duceppe E, Parlow J, MacDonald P, et al. Canadian Cardiovascular Society Guidelines on Perioperative Cardiac Risk Assessment and Management for Patients Who Undergo Noncardiac Surgery. Can J Cardiol. 2017;33(1):17-32. doi: 10.1016/j.cjca.2016.09.008
4. Zabolotskikh IB, Potievskaya VI, Bautin AE et al. Perioperative management of patients with coronary artery disease. Russian Journal of Anaesthesiology and Reanimatology = Anesteziologiya I Reanimatologiya. 2020;3:5–18. (In Russ.). Doi: 10.17116/anaesthesiology20200315
5. Sumin AN, Duplyakov DV, Belyalov FI. et al. Assessment and modification of cardiovascular risk in non-cardiac surgery. Clinical guidelines 2023. Russian Journal of Cardiology. 2023;28(8):5555. (In Russ.) Doi: 10.15829/1560-4071-20235555. EDN: MQQWMW
6. Lurati Buse G., Bollen Pinto B., Abelha F. et al. ESAIC focused guideline for the use of cardiac biomarkers in perioperative risk evaluation. Eur J Anaesthesiol. 2023; 40: 1–26. Doi: 10.1097/EJA.0000000000001865.
7. Sokolov DA, Zhbannikov PS, Ganert AN, Larionov SV, Lyuboshevskiy PA. Accuracy of predictors of perioperative cardiovascular complications in onco-surgery. Russian Journal of Anesthesiology and Reanimatology. 2023;(3):37-44. (In Russ., In Engl.) Doi: 10.17116/anaesthesiology202303137
8. Sokolov DA, Kozlov IA. Post-Discharge Cardiovascular Complications in Noncardiac Surgery: Incidence and Prediction. General Reanimatology. 2024;20(6):4-14. (In Russ.) Doi: 10.15360/1813-9779-2024-6-2489
9. Kozlov IA, Sokolov DA, Lyuboshevsky PA. The effectiveness of phosphocreatine cardioprotection during vascular surgery in high cardiac risk patients. Messenger of ANESTHESIOLOGY AND RESUSCITATION. 2024;21(3):6-16. (In Russ.) Doi: 10.24884/2078-5658-2024-21-3-6-16
10. Kozlov IA, Sokolov DA, Lyuboshevsky PA. The effectiveness of dexmedetomidine cardioprotection during vascular surgery in high cardiac risk patients. Messenger of ANESTHESIOLOGY AND RESUSCITATION. 2024;21(2):6-17. (In Russ.) Doi: 10.24884/2078-5658-2024-21-2-6-17
Review
For citations:
Sokolov D.A., Ganert A.N., Zhbannikov P.S. Prediction of cardiac complications in vascular surgery: analysis of clinical cases. Patient-Oriented Medicine and Pharmacy. 2025;3(2):48-52. (In Russ.) https://doi.org/10.37489/2949-1924-0090. EDN: KUSYUW