Analysis of risk factors for postoperative new-onset cardiac complications in patients with esophageal cancer and concomitant coronary heart disease
- VernacularTitle:合并冠心病食管癌患者术后新发心脏并发症的危险因素分析
- Author:
Qianwei WANG
1
,
2
,
3
,
4
;
Keping XU
1
,
2
,
3
,
4
;
Cheng SHEN
1
,
2
,
3
,
4
;
Yunyun CHEN
1
,
2
,
3
,
4
;
Dafu XU
1
,
2
,
3
,
4
Author Information
1. Department of Cardiothoracic Surgery, The Affiliated Huai'
2. an No.1 People'
3. s Hospital of Nanjing Medical University, Huai'
4. an, 223300, Jiangsu, P. R.China
- Publication Type:Journal Article
- Keywords:
Esophageal cancer;
coronary heart disease;
postoperative new-onset cardiac complications;
risk factor
- From:
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
2025;32(06):824-829
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the factors affecting the occurrence of new postoperative cardiac complications in patients undergoing esophageal cancer surgery with concomitant coronary heart disease. Methods Clinical data of patients who underwent esophageal cancer surgery with coronary heart disease at the Affiliated Huai'an No.1 People's Hospital of Nanjing Medical University from December 2019 to June 2023 were collected. Patients were divided into two groups based on whether they experienced postoperative cardiac complications. Using the occurrence of cardiac complications as the dependent variable, a multivariate logistic regression model was established to identify related influencing factors. Results A total of 223 patients were included, comprising 148 males and 75 females, with an average age of (71.78±6.31) years (range 53-88 years). Seventy-one (31.84%) patients experienced at least one new cardiac complication postoperatively, including 2 acute coronary syndrome, 13 heart failure, and 59 new-onset postoperative arrhythmias. Univariate analysis showed that age, systemic immune-inflammation index, pulmonary infection, need for invasive mechanical ventilation due to respiratory failure, acute respiratory distress syndrome (ARDS), acute delirium, pleural effusion requiring drainage, and acute renal failure were risk factors for postoperative new-onset cardiac complications (all P<0.05). Multivariate logistic regression analysis identified age, postoperative length of hospital stay, ARDS, and systemic immune-inflammation index as independent risk factors for new cardiac complications in esophageal cancer patients with coronary heart disease. Conclusion Strengthening perioperative management of esophageal cancer patients, ranging from preoperative evaluation to postoperative complication treatment, is crucial. Particular attention should be paid to age, ARDS, and other indicators to improve postoperative prognoses in patients with coronary heart disease complicated by esophageal cancer.
