Tissue Doppler Imaging and Speckle-Tracking Echocardiography in Assessment of Perioperative Cardiac Risk in Patients Undergoing Abdominal Surgery

Transthoracic echocardiography with tissue Doppler imaging and speckle tracking echocardiography was done to 350 patients who later underwent abdominal surgery. 44.3% patients among them were more than 65 years old, 17.1% - more than 75. Majority (69.8%) underwent a surgery due to stomach, bowel, esophagus, and pancreas cancer. Follow up period for cardiac complications assessment was 30 days after the intervention. Cardiac complications were revealed in 64 (18.3%) patients. There were major cardiac complications in 26 (7.4%) patients and minor - in 38 (10.9%). Value of global longitudinal strain <18% was the only significant risk factor of cardiac complications with 73% sensitivity, 61% specificity, 78% predictive positive value, 66% predictive negative value, 0,640 AUC. It allowed revealing patients with high perioperative cardiac risk.

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

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