The Effect of Hypertension History on the Application of a Computer Program for the Prediction of Perioperative Myocardiac Infarction and Cardiac Mortality to Non-cardiac Surgical Patients.
10.4097/kjae.1995.29.3.344
- Author:
Yang Sik SHIN
1
;
Ki Jun KIM
;
Kyung Jin LEE
Author Information
1. Department of Anesthesiology, Yonsei University College of Medicine, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
Perioperative cardiac risk;
Non-cardiac surgery;
Prediction value;
Computer program
- MeSH:
Electrocardiography;
Emergencies;
Humans;
Hypertension*;
Infarction*;
Ischemia;
Laparotomy;
Mortality*;
Potassium;
Thoracotomy
- From:Korean Journal of Anesthesiology
1995;29(3):344-350
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
To evaluate whether the perioperative myocardiac infarction or cardiac mortality can be predicted in non-cardiac surgery, a computer program for the prediction value was applicated 70 normotensive and 93 hypertensive patients. The eight questions which are required a answer either "yes" or "no" for emergency surgery, experience of anginal attacks, ischemia on electrocardiography, history of myocardiac infarction, age over 70 years, laparotomy and/or thoracotomy, surgery involving great vessels and serum potassium less than 3.5 mEq/L are employed in this program. The prediction values were higher in the normotensive group(10.2+/-15.3%) than the hypertensive group(7.9+/-6.9%), and two cases of perioperative myocardiac infarction occurred in the normotensive group. Histories of myocardiac infarction in the normotensive patients(14.3%) were significantly more frequent than in the hypertensive group(3.3%). The authors suggested that the patients history of hypertension seems not to be directily related to the prediction value of perioperative myocardiac infarction and cardiac mortality.
