Ozova, Maryam; Chomakhidze, Petr; Poltavskaya, Maria; Vychuzhanin, Dmitry; Kopylov, Philippe; Saner, Hugo; Andreev, Denis (2022). Cardiopulmonary exercise testing for cardiovascular risk assessment in patients undergoing gastric and oesophageal cancer surgery: results from a prospective interventional cohort study. Open Heart, 9(2) B M J Group 10.1136/openhrt-2021-001932
|
Text
e001932.full.pdf - Published Version Available under License Creative Commons: Attribution-Noncommercial (CC-BY-NC). Download (616kB) | Preview |
BACKGROUND
Cardiopulmonary exercise testing (CPET) has shown to be useful for preoperative risk stratification in various types of intra-abdominal and thoracic surgery. However, data about the predictive value of CPET for cardiovascular outcome after gastric or oesophageal cancer surgery are inconclusive. The aim of this study was to evaluate the prognostic value of CPET parameters for the prediction of cardiovascular complications in patients with this type of surgery.
METHODS
This is a prospective single-centre interventional cohort study including 200 consecutive patients who underwent elective surgery for oesophageal and/or gastric cancer. Symptom-limited CPET was performed preoperatively to evaluate the potential of various test-derived parameters including anaerobic threshold (AT) to predict cardiovascular complications within 30 days after surgery.
RESULTS
200 patients (mean age 68±14.2 years) met inclusion and exclusion criteria: oesophageal surgery 54 pts, gastric surgery 132 pts and combined oesophageal/gastric surgery 14 pts. 41/200 pts (20.5%) experienced cardiovascular complications during and within 30 days after surgery including 4 non-fatal myocardial infarctions (2%), 1 stroke (0.5%); 6 dead from cardiovascular causes (3%) and less serious complications in 30 patients (15%) including angina attacks and antiarrhythmic therapy for ventricular arrhythmias or for atrial fibrillation/flutter. Results from preoperative CPET indicate that an AT level below 11 mL/kg/min was highly predictive for any cardiovascular complication (p=0.02, OR 6.33, 95% CI 1.78 to 22.47). An AT level <9.5 had the best predictive accuracy for major perioperative cardiac complications (sensitivity 93%, specificity 68%, positive predicative value 75%, negative predicative value 98.8%).
CONCLUSION
CPET is a useful perioperative risk assessment tool for patients undergoing surgery for oesophageal and gastric cancer, which carries a particularly high risk for cardiovascular complications. An AT <9.5 mL/kg/min turned out to be the most reliable predictor for major cardiovascular complications.
Item Type: |
Journal Article (Original Article) |
|---|---|
Division/Institute: |
10 Strategic Research Centers > ARTORG Center for Biomedical Engineering Research > ARTORG Center - Gerontechnology and Rehabilitation |
UniBE Contributor: |
Saner, Hugo Ernst |
Subjects: |
600 Technology > 610 Medicine & health |
ISSN: |
2053-3624 |
Publisher: |
B M J Group |
Language: |
English |
Submitter: |
Pubmed Import |
Date Deposited: |
18 Jul 2022 08:51 |
Last Modified: |
05 Dec 2022 16:21 |
Publisher DOI: |
10.1136/openhrt-2021-001932 |
PubMed ID: |
35840177 |
Uncontrolled Keywords: |
Acute Coronary Syndrome Delivery of Health Care General Surgery Health Care Myocardial Infarction Outcome Assessment |
BORIS DOI: |
10.48350/171343 |
URI: |
https://boris.unibe.ch/id/eprint/171343 |
Actions (login required)
 |
Edit item |