Cited 2 times in
Prognostic value of preoperative left ventricular global longitudinal strain for predicting postoperative myocardial injury and mortality in patients undergoing major non-cardiac surgery (SOLOMON study)
DC Field | Value | Language |
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dc.contributor.author | 김민관 | - |
dc.contributor.author | 배성아 | - |
dc.contributor.author | 정인현 | - |
dc.date.accessioned | 2023-05-31T05:44:54Z | - |
dc.date.available | 2023-05-31T05:44:54Z | - |
dc.date.issued | 2023-05 | - |
dc.identifier.issn | 0167-5273 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/194266 | - |
dc.description.abstract | Background: The usefulness of preoperative measurement of left ventricular global longitudinal strain (LVGLS) for predicting prognosis in patients undergoing non-cardiac surgery has not been evaluated. We analyzed the prognostic value of LVGLS in predicting postoperative 30-day cardiovascular events and myocardial injury after non-cardiac surgery (MINS). Methods: This prospective cohort study was conducted in two referral hospitals and included 871 patients who underwent non-cardiac surgery <1 month after preoperative echocardiography. Those with ejection fraction <40%, valvular heart disease, and regional wall motion abnormality were excluded. The co-primary endpoints were the (1) composite incidence of all-cause death, acute coronary syndrome (ACS), and MINS and (2) com-posite incidence of all-cause death and ACS. Results: Among the 871 participants enrolled (mean age: 72.9 years; female: 60.8%), there were 43 cases of the primary endpoint (4.9%): 10 deaths, 3 ACS, and 37 MINS. Participants with impaired LVGLS (<= 16.6%) had a higher incidence of the co-primary endpoints (log-rank P < 0.001 and 0.015) than those without. The result was similar after adjustment with clinical variables and preoperative troponin T levels (hazard ratio = 1.30, 95% confidence interval [CI] = 1.03-1.65; P = 0.027). In sequential Cox analysis and net reclassification index, LVGLS had an incremental value for predicting the co-primary endpoints after non-cardiac surgery. Among the 538 (61.8%) participants who underwent serial troponin assay, LVGLS predicted MINS independently from the traditional risk factors (odds ratio = 3.54, 95% CI = 1.70-7.36; P = 0.001). Conclusions: Preoperative LVGLS has an independent and incremental prognostic value in predicting early postoperative cardiovascular events and MINS. Clinical Trial Registration: URL: https://trialsearch.who.int/. Unique identifiers: KCT0005147. | - |
dc.description.statementOfResponsibility | open | - |
dc.language | English | - |
dc.publisher | Elsevier | - |
dc.relation.isPartOf | INTERNATIONAL JOURNAL OF CARDIOLOGY | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.subject.MESH | Aged | - |
dc.subject.MESH | Cardiovascular Diseases* | - |
dc.subject.MESH | Cohort Studies | - |
dc.subject.MESH | Echocardiography | - |
dc.subject.MESH | Female | - |
dc.subject.MESH | Global Longitudinal Strain* | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Prognosis | - |
dc.subject.MESH | Prospective Studies | - |
dc.subject.MESH | Risk Factors | - |
dc.subject.MESH | Stroke Volume | - |
dc.title | Prognostic value of preoperative left ventricular global longitudinal strain for predicting postoperative myocardial injury and mortality in patients undergoing major non-cardiac surgery (SOLOMON study) | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Internal Medicine (내과학교실) | - |
dc.contributor.googleauthor | Minkwan Kim | - |
dc.contributor.googleauthor | Inki Moon | - |
dc.contributor.googleauthor | SungA Bae | - |
dc.contributor.googleauthor | HyeSun Seo | - |
dc.contributor.googleauthor | In Hyun Jung | - |
dc.identifier.doi | 10.1016/j.ijcard.2023.02.046 | - |
dc.contributor.localId | A05957 | - |
dc.contributor.localId | A06140 | - |
dc.contributor.localId | A05887 | - |
dc.relation.journalcode | J01093 | - |
dc.identifier.eissn | 1874-1754 | - |
dc.identifier.pmid | 36863423 | - |
dc.subject.keyword | Global longitudinal strain | - |
dc.subject.keyword | Myocardial injury | - |
dc.subject.keyword | Non-cardiac surgery | - |
dc.subject.keyword | Prognosis | - |
dc.contributor.alternativeName | Kim, Minkwan | - |
dc.contributor.affiliatedAuthor | 김민관 | - |
dc.contributor.affiliatedAuthor | 배성아 | - |
dc.contributor.affiliatedAuthor | 정인현 | - |
dc.citation.volume | 378 | - |
dc.citation.startPage | 151 | - |
dc.citation.endPage | 158 | - |
dc.identifier.bibliographicCitation | INTERNATIONAL JOURNAL OF CARDIOLOGY, Vol.378 : 151-158, 2023-05 | - |
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