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  • 标题: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
  • 作者:Shin, Yang Sik ; Kim, Ki Jun ; Lee, Kyung Jin
  • 期刊名称:Korean Journal of Anesthesiology
  • 印刷版ISSN:2005-6419
  • 出版年度:1995
  • 卷号:29
  • 期号:3
  • 页码:344-350
  • DOI:10.4097/kjae.1995.29.3.344
  • 语种:Korean
  • 出版社:The Korean Society of Anesthesiologists,
  • 摘要:

    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.

  • 关键词:Perioperative cardiac risk; non-cardiac surgery; Prediction value; Computer program
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