Incidence of perioperative cardiac complications in patients with heart disease undergoing major oncosurgeries: A retrospective study

Abstract

Author(s): Sonali Opneja, Roopesh Sureshan*, Satheeshan Balasubramanian, Jashma Nizam, Joona Prabhakaran, Namratha Divakaran, Rahul Raveendran and Riyas M

Background: Cardiac complications are the most important causes of morbidity and mortality in the first 30 days after non cardiac surgery which result in prolonged length of stay, increased health care costs and poorer prognosis. Patients with coronary artery disease undergoing non-cardiac surgery are at an increased risk for peri-operative complications such as Myocardial Infarction(MI), cardiac failure, arrhythmias, cardiac arrest and increased morbidity and mortality.

Aim: To know the incidence of perioperative cardiac complications in patients with heart disease undergoing major oncosurgeries.

Settings and design: A retrospective analytic study was done in a tertiary care cancer centre in 70 heart disease patients who underwent oncosurgeries to know the incidence of perioperative cardiac complications within 7 days after surgery. Heart disease which were included in this study were congenital heart disease, ischemic heart disease, moderate and severe mitral stenosis, aortic stenosis, mitral regurgitation, aortic regurgitation, hypertrophic obstructive cardiomyopathy. Perioperative cardiac complications were noted in these patients intraoperatively and 7 days postoperatively.

Results: For the multivariate analysis, the value of alpha was adjusted and p-values at or below 0.2 were considered to be significant. In this study, history of previous surgery and moderate and high risk as diagnosed by cardiologist were found to significantly affect the incidence of intra/post-op complication in cardiac patients undergoing oncosurgeries.

Conclusion: Patients having any heart disease and having history of previous surgery or moderate and high risk diagnosed by cardiologist have more cardiac complications.

Share this article