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Современные аспекты предоперационного обследования при плановых внесердечных вмешательствах
Современные аспекты предоперационного обследования при плановых внесердечных вмешательствах
Чомахидзе П.Ш., Курбаналиева Н.К., Небежев А.А., Седов В.П., Сыркин А.Л. Современные аспекты предоперационного обследования при плановых внесердечных вмешательствах. Consilium Medicum. 2025;27(8):455–460. DOI: 10.26442/20751753.2025.8.203060
© ООО «КОНСИЛИУМ МЕДИКУМ», 2025 г.
© ООО «КОНСИЛИУМ МЕДИКУМ», 2025 г.
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Аннотация
В данной статье мы представляем обзор проведенных за последние годы исследований по определению прогностической ценности различных методов диагностики на этапе предоперационного обследования и прогнозирования риска при различных плановых внесердечных вмешательствах, опираясь на действующие клинические рекомендации и возможности современной медицины. Актуальность представленной темы несомненна, учитывая то, что в мире проводится более 200 млн различных внесердечных операций ежегодно, доля кардиальных осложнений превышает 50%, а единого мнения по объему обследования и получаемым прогностических параметрам удается достигнуть не всегда. Четкий алгоритм предоперационного обследования, выявление и учет прогностически значимых параметров влияют на стратификацию периоперационного риска, выбор анестезиологической и хирургической тактики, стратегию послеоперационного ведения пациента, что служит основой для снижения риска сердечно-сосудистых осложнений.
Ключевые слова: операция, осложнение, диагностика, риск, эхокардиография, электрокардиограмма, стресс-тест
Keywords: surgery, complication, diagnostics, risk, echocardiography, electrocardiogram, stress test
Ключевые слова: операция, осложнение, диагностика, риск, эхокардиография, электрокардиограмма, стресс-тест
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Keywords: surgery, complication, diagnostics, risk, echocardiography, electrocardiogram, stress test
Полный текст
Список литературы
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19. Satoki INOUE, The Perioperative Indication of Temporary Cardiac Pacing and Practical Considerations for Anesthetic Management. J Japan Soc Clin Anesthesia. 2012;32(4):624-7. DOI:10.2199/jjsca.32.624
20. Szudi L, Paulovich E, Faluvégi Z et al. Perioperative temporary pacemaker therapy. Orv Hetil. 2002;143(8):401-4.
21. Tashiro T, Pislaru SV, Blustin JM, et al. Perioperative risk of major non-cardiac surgery in patients with severe aortic stenosis: a reappraisal in contemporary practice. Eur Heart J. 2014;35:2372-81. DOI:10.1093/eurheartj/ehu044
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23. Rohde LE, Polanczyk CA, Goldman L, et al. Usefulness of transthoracic echocardiography as a tool for risk stratification of patients undergoing major noncardiac surgery. Am J Cardiol. 2001;87:505-9. DOI:10.1016/s0002-9149(00)01421-1
24. Kazmers A, Cerqueira MD, Zierler RE. Peri-operative and late outcome in patients with left ventricular ejection fraction of 35% or less who require major vascular surgery. J Vasc Surg. 1988;8:307-15.
25. Чомахидзе П.Ш., Полтавская М.Г., Седов В.П., Сыркин А.Л. Современные показатели эхокардиографии в прогнозировании кардиального риска при плановом протезировании коленного или тазобедренного сустава. Ультразвуковая и функциональная диагностика. 2017;2:49-59 [Chomakhidze PSh, Poltavskaya MG, Sedov VP, Syrkin AL. Modern indicators of echocardiography in predicting cardiac risk in planned knee or hip arthroplasty. Ultrasound and functional diagnostics. 2017;2:49-59 (in Russian)].
26. Goo-Yeong C, Sang-Ho J, Min-Kyu K, et al. Left atrial dyssynchrony assessed by strain imaging in predicting future development of atrial fibrillation in patients with heart failure. Int J Cardiol. 2009;134(3):336-41. DOI:10.1016/j.ijcard.2008.08.019
27. Howard-Quijano K, Salem A, Barkulis C, et al. Preoperative Three-Dimensional Strain Imaging Identifies Reduction in Left Ventricular Function and Predicts Outcomes After Cardiac Surgery. Anesth Analg. 2017;124(2):419-28. DOI:10.1213/ANE.0000000000001440
28. Cho DH, Park SM, Kim MN, et al. Presence of preoperative diastolic dysfunction predicts postoperative pulmonary edema and cardiovascular complications in patients undergoing noncardiac surgery. Echocardiography. 2014;31(1):42-9. DOI:10.1111/echo.12285
29. Snowden CP, Prentis JM, Anderson HL, et al. Submaximal cardiopulmonary exercise testing predicts complications and hospital length of stay in patients undergoing major elective surgery. Ann Surg. 2010;251:535-41. DOI:10.1097/SLA.0b013e3181cf811d
30. Hartley RA, Pichel AC, Grant SW, et al. Preoperative cardiopulmonary exercise testing and risk of early mortality following abdominal aortic aneurysm repair. Br J Surg. 2012;99:1539-46. DOI:10.1002/bjs.8896
31. Junejo MA, Mason JM, Sheen AJ, et al. Cardiopulmonary exercise testing for preoperative risk assessment before hepatic resection. Br J Surg. 2012;99:1097-104. DOI:10.1002/bjs.8773
32. Koshy AN, Ha FJ, Gow PJ, et al. Computed tomographic coronary angiography in risk stratification prior to non-cardiac surgery: a systematic review and meta-analysis. Heart. 2019;105(17):1335-42. DOI:10.1136/heartjnl-2018-314649.
33. Sheth T, Chan M, Butler C, et al.; Coronary Computed Tomographic Angiography and Vascular Events in Noncardiac Surgery Patients Cohort Evaluation Study Investigators. Prognostic capabilities of coronary computed tomographic angiography before non-cardiac surgery: prospective cohort study. BMJ. 2015;350:1907. DOI:10.1136/bmj.h1907.
34. Dowsley TF, Sheth T, Chow BJW. Complementary pre-operative risk assessment using coronary computed tomography angiography and nuclear myocardial perfusion imaging in noncardiac surgery: A VISION-CTA sub-study. J Nucl Cardiol. 2020;27(4):1331-7. DOI:10.1007/s12350-019-01779-9
35. Wijeysundera DN, Beattie WS, Austin PC, et al. Non-invasive cardiac stress testing before elective major non-cardiac surgery: population based cohort study. BMJ. 2010;340:b5526. DOI:10.1136/bmj.b5526
36. Poldermans D, Bax JJ, Schouten O, et al. Should major vascular surgery be delayed because of preoperative cardiac testing in intermediate-risk patients receiving beta-blocker therapy with tight heart rate control? J Am Coll Cardiol. 2006;48(5):964-9. DOI:10.1016/j.jacc.2006.03.059
37. Kaw R, Nagarajan V, Jaikumar L, et al. Predictive Value of Stress Testing, Revised Cardiac Risk Index, and Functional Status in Patients Undergoing Noncardiac Surgery. J Cardiothorac Vasc Anesth. 2019;33(4):927-32. DOI:10.1053/j.jvca.2018.07.020.
38. Valle JA, Graham L, Thiruvoipati T, et al. Facility-level association of preoperative stress testing and postoperative adverse cardiac events. Heart. 2018;104(24):2018-25. DOI:10.1136/heartjnl-2018-313047
2. Halvorsen S, Mehilli J, Cassese S, et al. 2022 ESC Guidelines on cardiovascular assessment and management of patients undergoing non-cardiac surgery: Developed by the task force for cardiovascular assessment and management of patients undergoing non-cardiac surgery of the European Society of Cardiology (ESC) Endorsed by the European Society of Anaesthesiology and Intensive Care (ESAIC). Eur Heart J. 2022;43(39):3826-924. DOI:10.1093/eurheartj/ehac270
3. Sumin AN, Duplyakov DV, Belyalov FI, et al. Recommendations for assessment and correction of cardiovascular risks in non-cardiac surgeries 2023. Russian Journal of Cardiology. 2023;28(8):5555 (in Russian). DOI:10.15829/1560-4071-20235555
4. Visseren FLJ, Mach F, Smulders YM, et al. 2021 ESC Guidelines on cardiovascular disease prevention in clinical practice. Eur Heart J. 2021;42:3227-337. DOI:10.1093/eurheartj/ehab484
5. Deana C, Vetrugno L, Bignami E, Bassi F. Peri-operative approach to esophagectomy: a narrative review from the anesthesiological standpoint. J Thorac Dis. 2021;13(10):6037-51. DOI:10.21037/jtd-21-940
6. Papadopoulou A, Mathers E. Risk stratification of the cancer patient: a narrative review. Dig Med Res. 2020;3:27. DOI:10.21037/dmr-20-69
7. Pennathur A, Brunelli A, Criner GJ, et al. Definition and assessment of high risk in patients considered for lobectomy for stage I non-small cell lung cancer: The American Association for Thoracic Surgery expert panel consensus document. J Thorac Cardiovasc Surg. 2021;162(6):1605-18. DOI:10.1016/j.jtcvs.2021.07.030
8. Panov AV, Kuleshova EV, Lokhovinina NL, et al. Assessment of cardiovascular risk and prevention of complications during non-cardiac surgery in patients with coronary heart disease. Arterial hypertension. 2020;26(6):629-39 (in Russian). DOI:10.18705/1607-419X-2020-26-6-629-639
9. Mozzhukhina NV, Chomakhidze PSh, Poltavskaya MG. Risk factors of cardiac complications in elective abdominal surgery. Data of electrocardiography, cardiopulmonary exercise test, echocardiography and holter-ECG monitoring. Russian Journal of Cardiology and Cardiovascular Surgery. 2015;8(6):8-13 (in Russian). DOI:10.17116/kardio2015868-13
10. Soucy-Giguere M, Duceppe E, Shi S, et al. Correlation Between Preoperative Electrocardiogram Findings And Nt-Probnp And Postoperative Cardiac Events After Noncardiac Surgery. Can J Cardiol. 2021;37(10):105-6. DOI:10.1016/j.cjca.2021.07.203
11. Alegria-Barrero Mr E, Alegria-Ezguerra Dr E. When to perform pre-operative ECG An article from the E-Journal of the ESC Council for Cardiology Practice. Eur Soc Cardiol. 2008;7(13):102-11.
12. Barra S, Agarwal S, Begley D, et al. Post-acute management of the acquired long QT syndrome. Postgrad Med J. 2014;90(1064):348-58. DOI:10.1136/postgradmedj-2013-132398
13. Nagele P, Pal S, Brown F, et al. Postoperative QT interval prolongation in patients undergoing noncardiac surgery under general anesthesia. Anesthesiology. 2012;117(2):321-8. DOI:10.1097/ALN.0b013e31825e6eb3
14. Johannsdottir HX, Gudmundsdottir IJ, Karason S, et al. Association between pre-operative prolonged corrected QT interval and all-cause mortality after non-cardiac surgery. Acta Anaesthesiol Scand. 2023;67(3):284-92. DOI:10.1111/aas.14178
15. Makarov LM, Komolyatova VN, Kupriyanova OO, et al. National Russian recommendations for the use of Holter monitoring in clinical practice. Russian Journal of Cardiology. 2014;(2):6-71 (in Russian). DOI:10.15829/1560- 4071-2014-2-6-71
16. Steinberg JS, Varma N, Cygankiewicz I, et al. 2017 ISHNE-HRS expert consensus statement on ambulatory ECG and external cardiac monitoring/telemetry. Heart Rhythm. 2017;14(7):55-96. DOI:10.1016/j.hrthm.2017.03.038
17. Lebedev DS, Mikhailov EN, Neminushchiy NM, et al. Ventricular rhythm disturbances. Ventricular tachycardia and sudden cardiac death. Clinical guidelines 2020. Russian Journal of Cardiology. 2021;26(7):4600 (in Russian). DOI:10.15829/1560-4071-2021-4600
18. Glikson M, Nielsen JC, Kronborg MB, et al. 2021 ESC Guidelines on cardiac pacing and cardiac resynchronization therapy. Eur Heart J. 2021;42:3427-520.
19. Satoki INOUE, The Perioperative Indication of Temporary Cardiac Pacing and Practical Considerations for Anesthetic Management. J Japan Soc Clin Anesthesia. 2012;32(4):624-7. DOI:10.2199/jjsca.32.624
20. Szudi L, Paulovich E, Faluvégi Z et al. Perioperative temporary pacemaker therapy. Orv Hetil. 2002;143(8):401-4.
21. Tashiro T, Pislaru SV, Blustin JM, et al. Perioperative risk of major non-cardiac surgery in patients with severe aortic stenosis: a reappraisal in contemporary practice. Eur Heart J. 2014;35:2372-81. DOI:10.1093/eurheartj/ehu044
22. Calleja AM, Dommaraju S, Gaddam R, et al. Cardiac risk in patients aged.75 years with asymptomatic, severe aortic stenosis undergoing noncardiac surgery. Am J Cardiol. 2010;105:1159-63. DOI:10.1016/j.amjcard.2009.12.019
23. Rohde LE, Polanczyk CA, Goldman L, et al. Usefulness of transthoracic echocardiography as a tool for risk stratification of patients undergoing major noncardiac surgery. Am J Cardiol. 2001;87:505-9. DOI:10.1016/s0002-9149(00)01421-1
24. Kazmers A, Cerqueira MD, Zierler RE. Peri-operative and late outcome in patients with left ventricular ejection fraction of 35% or less who require major vascular surgery. J Vasc Surg. 1988;8:307-15.
25. Chomakhidze PSh, Poltavskaya MG, Sedov VP, Syrkin AL. Modern indicators of echocardiography in predicting cardiac risk in planned knee or hip arthroplasty. Ultrasound and functional diagnostics. 2017;2:49-59 (in Russian).
26. Goo-Yeong C, Sang-Ho J, Min-Kyu K, et al. Left atrial dyssynchrony assessed by strain imaging in predicting future development of atrial fibrillation in patients with heart failure. Int J Cardiol. 2009;134(3):336-41. DOI:10.1016/j.ijcard.2008.08.019
27. Howard-Quijano K, Salem A, Barkulis C, et al. Preoperative Three-Dimensional Strain Imaging Identifies Reduction in Left Ventricular Function and Predicts Outcomes After Cardiac Surgery. Anesth Analg. 2017;124(2):419-28. DOI:10.1213/ANE.0000000000001440
28. Cho DH, Park SM, Kim MN, et al. Presence of preoperative diastolic dysfunction predicts postoperative pulmonary edema and cardiovascular complications in patients undergoing noncardiac surgery. Echocardiography. 2014;31(1):42-9. DOI:10.1111/echo.12285
29. Snowden CP, Prentis JM, Anderson HL, et al. Submaximal cardiopulmonary exercise testing predicts complications and hospital length of stay in patients undergoing major elective surgery. Ann Surg. 2010;251:535-41. DOI:10.1097/SLA.0b013e3181cf811d
30. Hartley RA, Pichel AC, Grant SW, et al. Preoperative cardiopulmonary exercise testing and risk of early mortality following abdominal aortic aneurysm repair. Br J Surg. 2012;99:1539-46. DOI:10.1002/bjs.8896
31. Junejo MA, Mason JM, Sheen AJ, et al. Cardiopulmonary exercise testing for preoperative risk assessment before hepatic resection. Br J Surg. 2012;99:1097-104. DOI:10.1002/bjs.8773
32. Koshy AN, Ha FJ, Gow PJ, et al. Computed tomographic coronary angiography in risk stratification prior to non-cardiac surgery: a systematic review and meta-analysis. Heart. 2019;105(17):1335-42. DOI:10.1136/heartjnl-2018-314649.
33. Sheth T, Chan M, Butler C, et al.; Coronary Computed Tomographic Angiography and Vascular Events in Noncardiac Surgery Patients Cohort Evaluation Study Investigators. Prognostic capabilities of coronary computed tomographic angiography before non-cardiac surgery: prospective cohort study. BMJ. 2015;350:1907. DOI:10.1136/bmj.h1907.
34. Dowsley TF, Sheth T, Chow BJW. Complementary pre-operative risk assessment using coronary computed tomography angiography and nuclear myocardial perfusion imaging in noncardiac surgery: A VISION-CTA sub-study. J Nucl Cardiol. 2020;27(4):1331-7. DOI:10.1007/s12350-019-01779-9
35. Wijeysundera DN, Beattie WS, Austin PC, et al. Non-invasive cardiac stress testing before elective major non-cardiac surgery: population based cohort study. BMJ. 2010;340:b5526. DOI:10.1136/bmj.b5526
36. Poldermans D, Bax JJ, Schouten O, et al. Should major vascular surgery be delayed because of preoperative cardiac testing in intermediate-risk patients receiving beta-blocker therapy with tight heart rate control? J Am Coll Cardiol. 2006;48(5):964-9. DOI:10.1016/j.jacc.2006.03.059
37. Kaw R, Nagarajan V, Jaikumar L, et al. Predictive Value of Stress Testing, Revised Cardiac Risk Index, and Functional Status in Patients Undergoing Noncardiac Surgery. J Cardiothorac Vasc Anesth. 2019;33(4):927-32. DOI:10.1053/j.jvca.2018.07.020.
38. Valle JA, Graham L, Thiruvoipati T, et al. Facility-level association of preoperative stress testing and postoperative adverse cardiac events. Heart. 2018;104(24):2018-25. DOI:10.1136/heartjnl-2018-313047
2. Halvorsen S, Mehilli J, Cassese S, et al. 2022 ESC Guidelines on cardiovascular assessment and management of patients undergoing non-cardiac surgery: Developed by the task force for cardiovascular assessment and management of patients undergoing non-cardiac surgery of the European Society of Cardiology (ESC) Endorsed by the European Society of Anaesthesiology and Intensive Care (ESAIC). Eur Heart J. 2022;43(39):3826-924. DOI:10.1093/eurheartj/ehac270
3. Сумин А.Н., Дупляков Д.В., Белялов Ф.И., и др. Рекомендации по оценке и коррекции сердечно-сосудистых рисков при несердечных операциях 2023. Российский кардиологический журнал. 2023;28(8):5555 [Sumin AN, Duplyakov DV, Belyalov FI, et al. Recommendations for assessment and correction of cardiovascular risks in non-cardiac surgeries 2023. Russian Journal of Cardiology. 2023;28(8):5555 (in Russian)]. DOI:10.15829/1560-4071-20235555
4. Visseren FLJ, Mach F, Smulders YM, et al. 2021 ESC Guidelines on cardiovascular disease prevention in clinical practice. Eur Heart J. 2021;42:3227-337. DOI:10.1093/eurheartj/ehab484
5. Deana C, Vetrugno L, Bignami E, Bassi F. Peri-operative approach to esophagectomy: a narrative review from the anesthesiological standpoint. J Thorac Dis. 2021;13(10):6037-51. DOI:10.21037/jtd-21-940
6. Papadopoulou A, Mathers E. Risk stratification of the cancer patient: a narrative review. Dig Med Res. 2020;3:27. DOI:10.21037/dmr-20-69
7. Pennathur A, Brunelli A, Criner GJ, et al. Definition and assessment of high risk in patients considered for lobectomy for stage I non-small cell lung cancer: The American Association for Thoracic Surgery expert panel consensus document. J Thorac Cardiovasc Surg. 2021;162(6):1605-18. DOI:10.1016/j.jtcvs.2021.07.030
8. Панов А.В., Кулешова Э.В., Лоховинина Н.Л., и др. Оценка сердечно-сосудистого риска и профилактика осложнений при внесердечной хирургии у больных ишемической болезнью сердца. Артериальная гипертензия. 2020;26(6):629-39 [Panov AV, Kuleshova EV, Lokhovinina NL, et al. Assessment of cardiovascular risk and prevention of complications during non-cardiac surgery in patients with coronary heart disease. Arterial hypertension. 2020;26(6):629-39 (in Russian)]. DOI:10.18705/1607-419X-2020-26-6-629-639
9. Мозжухина Н.В., Чомахидзе П.Ш., Полтавская М.Г. Факторы риска периоперационных кардиальных осложнений при плановых абдоминальных хирургических вмешательствах. Кардиология и сердечно-сосудистая хирургия. 2015;8(6):8-13 [Mozzhukhina NV, Chomakhidze PSh, Poltavskaya MG. Risk factors of cardiac complications in elective abdominal surgery. Data of electrocardiography, cardiopulmonary exercise test, echocardiography and holter-ECG monitoring. Russian Journal of Cardiology and Cardiovascular Surgery. 2015;8(6):8-13 (in Russian)]. DOI:10.17116/kardio2015868-13
10. Soucy-Giguere M, Duceppe E, Shi S, et al. Correlation Between Preoperative Electrocardiogram Findings And Nt-Probnp And Postoperative Cardiac Events After Noncardiac Surgery. Can J Cardiol. 2021;37(10):105-6. DOI:10.1016/j.cjca.2021.07.203
11. Alegria-Barrero Mr E, Alegria-Ezguerra Dr E. When to perform pre-operative ECG An article from the E-Journal of the ESC Council for Cardiology Practice. Eur Soc Cardiol. 2008;7(13):102-11.
12. Barra S, Agarwal S, Begley D, et al. Post-acute management of the acquired long QT syndrome. Postgrad Med J. 2014;90(1064):348-58. DOI:10.1136/postgradmedj-2013-132398
13. Nagele P, Pal S, Brown F, et al. Postoperative QT interval prolongation in patients undergoing noncardiac surgery under general anesthesia. Anesthesiology. 2012;117(2):321-8. DOI:10.1097/ALN.0b013e31825e6eb3
14. Johannsdottir HX, Gudmundsdottir IJ, Karason S, et al. Association between pre-operative prolonged corrected QT interval and all-cause mortality after non-cardiac surgery. Acta Anaesthesiol Scand. 2023;67(3):284-92. DOI:10.1111/aas.14178
15. Макаров Л.М., Комолятова В.Н., Куприянова О.О., и др. Национальные российские рекомендации по применению методики холтеровского мониторирования в клинической практике. Российский кардиологический журнал. 2014;(2):6-71 [Makarov LM, Komolyatova VN, Kupriyanova OO, et al. National Russian recommendations for the use of Holter monitoring in clinical practice. Russian Journal of Cardiology. 2014;(2):6-71 (in Russian)]. DOI:10.15829/1560- 4071-2014-2-6-71
16. Steinberg JS, Varma N, Cygankiewicz I, et al. 2017 ISHNE-HRS expert consensus statement on ambulatory ECG and external cardiac monitoring/telemetry. Heart Rhythm. 2017;14(7):55-96. DOI:10.1016/j.hrthm.2017.03.038
17. Лебедев Д.С., Михайлов Е.Н., Неминущий Н.М., и др. Желудочковые нарушения ритма. Желудочковые тахикардии и внезапная сердечная смерть. Клинические рекомендации 2020. Российский кардиологический журнал. 2021;26(7):4600 [Lebedev DS, Mikhailov EN, Neminushchiy NM, et al. Ventricular rhythm disturbances. Ventricular tachycardia and sudden cardiac death. Clinical guidelines 2020. Russian Journal of Cardiology. 2021;26(7):4600 (in Russian)]. DOI:10.15829/1560-4071-2021-4600
18. Glikson M, Nielsen JC, Kronborg MB, et al. 2021 ESC Guidelines on cardiac pacing and cardiac resynchronization therapy. Eur Heart J. 2021;42:3427-520.
19. Satoki INOUE, The Perioperative Indication of Temporary Cardiac Pacing and Practical Considerations for Anesthetic Management. J Japan Soc Clin Anesthesia. 2012;32(4):624-7. DOI:10.2199/jjsca.32.624
20. Szudi L, Paulovich E, Faluvégi Z et al. Perioperative temporary pacemaker therapy. Orv Hetil. 2002;143(8):401-4.
21. Tashiro T, Pislaru SV, Blustin JM, et al. Perioperative risk of major non-cardiac surgery in patients with severe aortic stenosis: a reappraisal in contemporary practice. Eur Heart J. 2014;35:2372-81. DOI:10.1093/eurheartj/ehu044
22. Calleja AM, Dommaraju S, Gaddam R, et al. Cardiac risk in patients aged.75 years with asymptomatic, severe aortic stenosis undergoing noncardiac surgery. Am J Cardiol. 2010;105:1159-63. DOI:10.1016/j.amjcard.2009.12.019
23. Rohde LE, Polanczyk CA, Goldman L, et al. Usefulness of transthoracic echocardiography as a tool for risk stratification of patients undergoing major noncardiac surgery. Am J Cardiol. 2001;87:505-9. DOI:10.1016/s0002-9149(00)01421-1
24. Kazmers A, Cerqueira MD, Zierler RE. Peri-operative and late outcome in patients with left ventricular ejection fraction of 35% or less who require major vascular surgery. J Vasc Surg. 1988;8:307-15.
25. Чомахидзе П.Ш., Полтавская М.Г., Седов В.П., Сыркин А.Л. Современные показатели эхокардиографии в прогнозировании кардиального риска при плановом протезировании коленного или тазобедренного сустава. Ультразвуковая и функциональная диагностика. 2017;2:49-59 [Chomakhidze PSh, Poltavskaya MG, Sedov VP, Syrkin AL. Modern indicators of echocardiography in predicting cardiac risk in planned knee or hip arthroplasty. Ultrasound and functional diagnostics. 2017;2:49-59 (in Russian)].
26. Goo-Yeong C, Sang-Ho J, Min-Kyu K, et al. Left atrial dyssynchrony assessed by strain imaging in predicting future development of atrial fibrillation in patients with heart failure. Int J Cardiol. 2009;134(3):336-41. DOI:10.1016/j.ijcard.2008.08.019
27. Howard-Quijano K, Salem A, Barkulis C, et al. Preoperative Three-Dimensional Strain Imaging Identifies Reduction in Left Ventricular Function and Predicts Outcomes After Cardiac Surgery. Anesth Analg. 2017;124(2):419-28. DOI:10.1213/ANE.0000000000001440
28. Cho DH, Park SM, Kim MN, et al. Presence of preoperative diastolic dysfunction predicts postoperative pulmonary edema and cardiovascular complications in patients undergoing noncardiac surgery. Echocardiography. 2014;31(1):42-9. DOI:10.1111/echo.12285
29. Snowden CP, Prentis JM, Anderson HL, et al. Submaximal cardiopulmonary exercise testing predicts complications and hospital length of stay in patients undergoing major elective surgery. Ann Surg. 2010;251:535-41. DOI:10.1097/SLA.0b013e3181cf811d
30. Hartley RA, Pichel AC, Grant SW, et al. Preoperative cardiopulmonary exercise testing and risk of early mortality following abdominal aortic aneurysm repair. Br J Surg. 2012;99:1539-46. DOI:10.1002/bjs.8896
31. Junejo MA, Mason JM, Sheen AJ, et al. Cardiopulmonary exercise testing for preoperative risk assessment before hepatic resection. Br J Surg. 2012;99:1097-104. DOI:10.1002/bjs.8773
32. Koshy AN, Ha FJ, Gow PJ, et al. Computed tomographic coronary angiography in risk stratification prior to non-cardiac surgery: a systematic review and meta-analysis. Heart. 2019;105(17):1335-42. DOI:10.1136/heartjnl-2018-314649.
33. Sheth T, Chan M, Butler C, et al.; Coronary Computed Tomographic Angiography and Vascular Events in Noncardiac Surgery Patients Cohort Evaluation Study Investigators. Prognostic capabilities of coronary computed tomographic angiography before non-cardiac surgery: prospective cohort study. BMJ. 2015;350:1907. DOI:10.1136/bmj.h1907.
34. Dowsley TF, Sheth T, Chow BJW. Complementary pre-operative risk assessment using coronary computed tomography angiography and nuclear myocardial perfusion imaging in noncardiac surgery: A VISION-CTA sub-study. J Nucl Cardiol. 2020;27(4):1331-7. DOI:10.1007/s12350-019-01779-9
35. Wijeysundera DN, Beattie WS, Austin PC, et al. Non-invasive cardiac stress testing before elective major non-cardiac surgery: population based cohort study. BMJ. 2010;340:b5526. DOI:10.1136/bmj.b5526
36. Poldermans D, Bax JJ, Schouten O, et al. Should major vascular surgery be delayed because of preoperative cardiac testing in intermediate-risk patients receiving beta-blocker therapy with tight heart rate control? J Am Coll Cardiol. 2006;48(5):964-9. DOI:10.1016/j.jacc.2006.03.059
37. Kaw R, Nagarajan V, Jaikumar L, et al. Predictive Value of Stress Testing, Revised Cardiac Risk Index, and Functional Status in Patients Undergoing Noncardiac Surgery. J Cardiothorac Vasc Anesth. 2019;33(4):927-32. DOI:10.1053/j.jvca.2018.07.020.
38. Valle JA, Graham L, Thiruvoipati T, et al. Facility-level association of preoperative stress testing and postoperative adverse cardiac events. Heart. 2018;104(24):2018-25. DOI:10.1136/heartjnl-2018-313047
________________________________________________
2. Halvorsen S, Mehilli J, Cassese S, et al. 2022 ESC Guidelines on cardiovascular assessment and management of patients undergoing non-cardiac surgery: Developed by the task force for cardiovascular assessment and management of patients undergoing non-cardiac surgery of the European Society of Cardiology (ESC) Endorsed by the European Society of Anaesthesiology and Intensive Care (ESAIC). Eur Heart J. 2022;43(39):3826-924. DOI:10.1093/eurheartj/ehac270
3. Sumin AN, Duplyakov DV, Belyalov FI, et al. Recommendations for assessment and correction of cardiovascular risks in non-cardiac surgeries 2023. Russian Journal of Cardiology. 2023;28(8):5555 (in Russian). DOI:10.15829/1560-4071-20235555
4. Visseren FLJ, Mach F, Smulders YM, et al. 2021 ESC Guidelines on cardiovascular disease prevention in clinical practice. Eur Heart J. 2021;42:3227-337. DOI:10.1093/eurheartj/ehab484
5. Deana C, Vetrugno L, Bignami E, Bassi F. Peri-operative approach to esophagectomy: a narrative review from the anesthesiological standpoint. J Thorac Dis. 2021;13(10):6037-51. DOI:10.21037/jtd-21-940
6. Papadopoulou A, Mathers E. Risk stratification of the cancer patient: a narrative review. Dig Med Res. 2020;3:27. DOI:10.21037/dmr-20-69
7. Pennathur A, Brunelli A, Criner GJ, et al. Definition and assessment of high risk in patients considered for lobectomy for stage I non-small cell lung cancer: The American Association for Thoracic Surgery expert panel consensus document. J Thorac Cardiovasc Surg. 2021;162(6):1605-18. DOI:10.1016/j.jtcvs.2021.07.030
8. Panov AV, Kuleshova EV, Lokhovinina NL, et al. Assessment of cardiovascular risk and prevention of complications during non-cardiac surgery in patients with coronary heart disease. Arterial hypertension. 2020;26(6):629-39 (in Russian). DOI:10.18705/1607-419X-2020-26-6-629-639
9. Mozzhukhina NV, Chomakhidze PSh, Poltavskaya MG. Risk factors of cardiac complications in elective abdominal surgery. Data of electrocardiography, cardiopulmonary exercise test, echocardiography and holter-ECG monitoring. Russian Journal of Cardiology and Cardiovascular Surgery. 2015;8(6):8-13 (in Russian). DOI:10.17116/kardio2015868-13
10. Soucy-Giguere M, Duceppe E, Shi S, et al. Correlation Between Preoperative Electrocardiogram Findings And Nt-Probnp And Postoperative Cardiac Events After Noncardiac Surgery. Can J Cardiol. 2021;37(10):105-6. DOI:10.1016/j.cjca.2021.07.203
11. Alegria-Barrero Mr E, Alegria-Ezguerra Dr E. When to perform pre-operative ECG An article from the E-Journal of the ESC Council for Cardiology Practice. Eur Soc Cardiol. 2008;7(13):102-11.
12. Barra S, Agarwal S, Begley D, et al. Post-acute management of the acquired long QT syndrome. Postgrad Med J. 2014;90(1064):348-58. DOI:10.1136/postgradmedj-2013-132398
13. Nagele P, Pal S, Brown F, et al. Postoperative QT interval prolongation in patients undergoing noncardiac surgery under general anesthesia. Anesthesiology. 2012;117(2):321-8. DOI:10.1097/ALN.0b013e31825e6eb3
14. Johannsdottir HX, Gudmundsdottir IJ, Karason S, et al. Association between pre-operative prolonged corrected QT interval and all-cause mortality after non-cardiac surgery. Acta Anaesthesiol Scand. 2023;67(3):284-92. DOI:10.1111/aas.14178
15. Makarov LM, Komolyatova VN, Kupriyanova OO, et al. National Russian recommendations for the use of Holter monitoring in clinical practice. Russian Journal of Cardiology. 2014;(2):6-71 (in Russian). DOI:10.15829/1560- 4071-2014-2-6-71
16. Steinberg JS, Varma N, Cygankiewicz I, et al. 2017 ISHNE-HRS expert consensus statement on ambulatory ECG and external cardiac monitoring/telemetry. Heart Rhythm. 2017;14(7):55-96. DOI:10.1016/j.hrthm.2017.03.038
17. Lebedev DS, Mikhailov EN, Neminushchiy NM, et al. Ventricular rhythm disturbances. Ventricular tachycardia and sudden cardiac death. Clinical guidelines 2020. Russian Journal of Cardiology. 2021;26(7):4600 (in Russian). DOI:10.15829/1560-4071-2021-4600
18. Glikson M, Nielsen JC, Kronborg MB, et al. 2021 ESC Guidelines on cardiac pacing and cardiac resynchronization therapy. Eur Heart J. 2021;42:3427-520.
19. Satoki INOUE, The Perioperative Indication of Temporary Cardiac Pacing and Practical Considerations for Anesthetic Management. J Japan Soc Clin Anesthesia. 2012;32(4):624-7. DOI:10.2199/jjsca.32.624
20. Szudi L, Paulovich E, Faluvégi Z et al. Perioperative temporary pacemaker therapy. Orv Hetil. 2002;143(8):401-4.
21. Tashiro T, Pislaru SV, Blustin JM, et al. Perioperative risk of major non-cardiac surgery in patients with severe aortic stenosis: a reappraisal in contemporary practice. Eur Heart J. 2014;35:2372-81. DOI:10.1093/eurheartj/ehu044
22. Calleja AM, Dommaraju S, Gaddam R, et al. Cardiac risk in patients aged.75 years with asymptomatic, severe aortic stenosis undergoing noncardiac surgery. Am J Cardiol. 2010;105:1159-63. DOI:10.1016/j.amjcard.2009.12.019
23. Rohde LE, Polanczyk CA, Goldman L, et al. Usefulness of transthoracic echocardiography as a tool for risk stratification of patients undergoing major noncardiac surgery. Am J Cardiol. 2001;87:505-9. DOI:10.1016/s0002-9149(00)01421-1
24. Kazmers A, Cerqueira MD, Zierler RE. Peri-operative and late outcome in patients with left ventricular ejection fraction of 35% or less who require major vascular surgery. J Vasc Surg. 1988;8:307-15.
25. Chomakhidze PSh, Poltavskaya MG, Sedov VP, Syrkin AL. Modern indicators of echocardiography in predicting cardiac risk in planned knee or hip arthroplasty. Ultrasound and functional diagnostics. 2017;2:49-59 (in Russian).
26. Goo-Yeong C, Sang-Ho J, Min-Kyu K, et al. Left atrial dyssynchrony assessed by strain imaging in predicting future development of atrial fibrillation in patients with heart failure. Int J Cardiol. 2009;134(3):336-41. DOI:10.1016/j.ijcard.2008.08.019
27. Howard-Quijano K, Salem A, Barkulis C, et al. Preoperative Three-Dimensional Strain Imaging Identifies Reduction in Left Ventricular Function and Predicts Outcomes After Cardiac Surgery. Anesth Analg. 2017;124(2):419-28. DOI:10.1213/ANE.0000000000001440
28. Cho DH, Park SM, Kim MN, et al. Presence of preoperative diastolic dysfunction predicts postoperative pulmonary edema and cardiovascular complications in patients undergoing noncardiac surgery. Echocardiography. 2014;31(1):42-9. DOI:10.1111/echo.12285
29. Snowden CP, Prentis JM, Anderson HL, et al. Submaximal cardiopulmonary exercise testing predicts complications and hospital length of stay in patients undergoing major elective surgery. Ann Surg. 2010;251:535-41. DOI:10.1097/SLA.0b013e3181cf811d
30. Hartley RA, Pichel AC, Grant SW, et al. Preoperative cardiopulmonary exercise testing and risk of early mortality following abdominal aortic aneurysm repair. Br J Surg. 2012;99:1539-46. DOI:10.1002/bjs.8896
31. Junejo MA, Mason JM, Sheen AJ, et al. Cardiopulmonary exercise testing for preoperative risk assessment before hepatic resection. Br J Surg. 2012;99:1097-104. DOI:10.1002/bjs.8773
32. Koshy AN, Ha FJ, Gow PJ, et al. Computed tomographic coronary angiography in risk stratification prior to non-cardiac surgery: a systematic review and meta-analysis. Heart. 2019;105(17):1335-42. DOI:10.1136/heartjnl-2018-314649.
33. Sheth T, Chan M, Butler C, et al.; Coronary Computed Tomographic Angiography and Vascular Events in Noncardiac Surgery Patients Cohort Evaluation Study Investigators. Prognostic capabilities of coronary computed tomographic angiography before non-cardiac surgery: prospective cohort study. BMJ. 2015;350:1907. DOI:10.1136/bmj.h1907.
34. Dowsley TF, Sheth T, Chow BJW. Complementary pre-operative risk assessment using coronary computed tomography angiography and nuclear myocardial perfusion imaging in noncardiac surgery: A VISION-CTA sub-study. J Nucl Cardiol. 2020;27(4):1331-7. DOI:10.1007/s12350-019-01779-9
35. Wijeysundera DN, Beattie WS, Austin PC, et al. Non-invasive cardiac stress testing before elective major non-cardiac surgery: population based cohort study. BMJ. 2010;340:b5526. DOI:10.1136/bmj.b5526
36. Poldermans D, Bax JJ, Schouten O, et al. Should major vascular surgery be delayed because of preoperative cardiac testing in intermediate-risk patients receiving beta-blocker therapy with tight heart rate control? J Am Coll Cardiol. 2006;48(5):964-9. DOI:10.1016/j.jacc.2006.03.059
37. Kaw R, Nagarajan V, Jaikumar L, et al. Predictive Value of Stress Testing, Revised Cardiac Risk Index, and Functional Status in Patients Undergoing Noncardiac Surgery. J Cardiothorac Vasc Anesth. 2019;33(4):927-32. DOI:10.1053/j.jvca.2018.07.020.
38. Valle JA, Graham L, Thiruvoipati T, et al. Facility-level association of preoperative stress testing and postoperative adverse cardiac events. Heart. 2018;104(24):2018-25. DOI:10.1136/heartjnl-2018-313047
Авторы
П.Ш. Чомахидзе*, Н.К. Курбаналиева, А.А. Небежев, В.П. Седов, А.Л. Сыркин
ФГАОУ ВО «Первый Московский государственный медицинский университет им. И.М. Сеченова» Минздрава России (Сеченовский Университет), Москва, Россия
*petr7747@mail.ru
Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russia
*petr7747@mail.ru
ФГАОУ ВО «Первый Московский государственный медицинский университет им. И.М. Сеченова» Минздрава России (Сеченовский Университет), Москва, Россия
*petr7747@mail.ru
________________________________________________
Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russia
*petr7747@mail.ru
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