Tissue Doppler imaging and speckle tracking echocardiography in cardiovascular risk prognosis in patients undergoing hip or knee replacement elective surgery

240 patients who underwent a routine hip or knee replacement surgery were investigated. 63.3% of patients among them were more than 65 years old. 72.5% of patients had a history of cardiovascular disease. Transthoracic echocardiography was performed according to standard protocol using tissue Doppler imaging and speckle tracking. Follow up period for cardiac complications assessment was 30 days after the intervention. Cardiac complications were revealed in 50 (20.8%) patients: major cardiovascular complications in 12 (5.0%) patients, minor - in 38 (15.8%). Major cardiovascular complications included: 3 (1.3%) cases of cardiovascular death, 6 (2.5%) cases of non-fatal myocardial infarction, and 3 (1.3%) cases of non-fatal stroke. Global longitudinal strain <17% was significant risk factor for major cardiovascular complications (sensitivity - 91%, specificity - 80%, AUC - 0.887). Speckle tracking transthoracic echocardiography allowed revealing patients with high perioperative cardiovascular risk in noncardiac surgery (hip or knee replacement elective surgery).

трансторакальная эхокардиография, speckle tracking (след пятна), кардиальный риск, некардиологические хирургические вмешательства, transthoracic echocardiography, speckle tracking, cardiac risk, noncardiac surgery

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