术前心电图检查与术后主要不良心脏事件发生危险的关系

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Abstract Objective To explore the predictive value of preoperative electrocardiogram for major adverse cardiac events (MACE) in patients undergoing selective noncardiac surgery. Methods It was a retrospective cohort study. From November 2012 to January 2013, patients undergoing elective noncardiac surgery in the First Hospital of Peking University were selected as the study subjects. The results of preoperative electrocardiogram, perioperative data and MACE during hospitalization were recorded. Results In this study, 2081 patients completed preoperative electrocardiogram examination. Incidence rate of MACE in all patients was 1.5% (32/2081). The incidence rate of postoperative MACE was 1.7% (11/632) in 632 patients (30.4%) with abnormal electrocardiogram. Multivariate logistic regression analysis showed that there was no significant relationship between preoperative electrocardiogram abnormality and postoperative MACE (OR = 0.580, 95%CI: 0.262-1.286, P = 0.180). Conclusion There is no significant relationship between preoperative electrocardiogram abnormality and postoperative MACE.

Key words： Electrocardiogram Noncardiac surgery Major adverse cardiac events Prognostic value

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	SONG Ruijia1 ZHAO Xueli1 WANG Bojie2 MU Dongliang2

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SONG Ruijia1 ZHAO Xueli1 WANG Bojie2 MU Dongliang2. The relationship between preoperative electrocardiogram examination and the risk of postoperative major adverse cardiac events[J]. 中国医药导报, 2020, 17(7): 76-80.

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http://www.yiyaodaobao.com.cn/EN/ OR http://www.yiyaodaobao.com.cn/EN/Y2020/V17/I7/76

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