Viña GML, Jiménez TA, Benítez BJL, Calzado MER

Language: Spanish
References: 0
Page: 210-229
PDF size: 106.61 Kb.

ABSTRACT

Introduction. Cardiovascular diseases (CVD) are the leading cause of morbidity and mortality. The main objective of this work is to identify the characteristics, complications and causes of death in surgical patients with cardiovascular disease who die in a noncardiac surgery. Methods. A descriptive cross-sectional study was conducted. The study group consisted of all the deceased surgical patients with cardiovascular disease undergoing non cardiac surgery in the Clinical Surgical Teaching Hospital "Joaquin Albarran" in the time period from January 2005 to January 2010. Results. The demographic variables that predominate were the female gender and age above 70 years. Prevailed AH, IQ and ASA III in 65.2 % and 39.1 %, respectively. 69.6 % were emergency interventions under GOT anesthesia. The clinical cardiac Risk-Surgical Intermediate was above 50 %. The most common intraoperative complications were arrhythmias (25,0 %) and elective bleeding (38.5 %). Major perioperative cardiac complications were arrhythmias (23.9 %) and in the immediate postoperative, the cardio-respiratory arrest (CRA) (27.3 %). There was a relationship with statistically significant differences (p = 0.04) and cardiac complications of high-risk cardiac surgery. Pulmonary embolism was the leading cause of death (17.4 %). Conclusions. Cardiac risk in surgical procedure stratified as high, and urgent surgery increase surgical risk and occurrence of cardiac complications in noncardiac surgery.