ISSN 1016-5169 | E-ISSN 1308-4488
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The Relationship of Systolic Pulmonary Artery Pressure with Perioperative Mortality and Morbidity in Patients Undergoing Non-Cardiac Surgery: A Single-Center Experience [Turk Kardiyol Dern Ars]
Turk Kardiyol Dern Ars. 2023; 51(7): 464-469 | DOI: 10.5543/tkda.2023.60670

The Relationship of Systolic Pulmonary Artery Pressure with Perioperative Mortality and Morbidity in Patients Undergoing Non-Cardiac Surgery: A Single-Center Experience

Betül Cengiz Elçioglu, Erol Gürsoy, Fusun Helvacı, Nihal Tefik, Onur Baydar, Alparslan Kılıç, Yasemin Demirci, Gamze Aslan, Ece Yurtseven, Vedat Aytekin, Saide Aytekin
Department of Cardiology, Koç University Hospital, İstanbul, Türkiye


OBJECTIVE
Pulmonary hypertension (PH) is associated with adverse perioperative events in patients undergoing non-cardiac surgery. In this study, we aimed to investigate the relationship between systolic pulmonary artery pressure (sPAP), evaluated by transthoracic echocardiography (TTE) before surgery, and perioperative mortality and morbidity in patients who underwent non-cardiac surgery in our center.


METHODS
Of the 3425 retrospectively screened patients who underwent non-cardiac surgery, 3049 patients whose estimated sPAP values were previously determined by TTE were included in the study. Patients were classified into 3 groups according to their estimated sPAP levels. sPAP <35 mmHg formed group 1, 35–39 mmHg group 2, and ≥ 40 mmHg group 3. All demographic and perioperative data obtained from the database of our institute were compared in three groups.


RESULTS
Of the 3049 patients enrolled in the study, 2406 (78.9%) were in group 1, 259 (8.5%) in group 2, and 384 (12.6%) in group 3. Thirty-day all-cause mortality was observed in 82 (2.7%) patients, cardiac mortality occurred in 9 patients (0.3%). In the group with sPAP ≥40 mmHg, cardiac mortality was 0.5% and all-cause mortality was 7.3%. Thirty-day all-cause mortality, acute pulmonary edema, and acute renal failure were significantly higher in group 3 than in the other groups. Cardiac mortality did not differ significantly between the groups. Age, sPAP value, and chronic obstructive pulmonary disease history were revealed as independent predictors of all-cause mortality in multivariate logistic regression analysis.


CONCLUSION
In conclusion, increased sPAP is associated with adverse postoperative outcomes. The evaluation of sPAP with TTE before non-cardiac surgery in patients whose clinical features and examination findings suggest PH may contribute to preoperative risk assessment.

Keywords: Non-cardiac surgery, preoperative cardiac evaluation, pulmonary hypertension

How to cite this article
Betül Cengiz Elçioglu, Erol Gürsoy, Fusun Helvacı, Nihal Tefik, Onur Baydar, Alparslan Kılıç, Yasemin Demirci, Gamze Aslan, Ece Yurtseven, Vedat Aytekin, Saide Aytekin. The Relationship of Systolic Pulmonary Artery Pressure with Perioperative Mortality and Morbidity in Patients Undergoing Non-Cardiac Surgery: A Single-Center Experience. Turk Kardiyol Dern Ars. 2023; 51(7): 464-469

Corresponding Author: Saide Aytekin, Türkiye
Manuscript Language: English


Journal Metrics

Journal Citation Indicator: 0.18
CiteScore: 1.1
Source Normalized Impact
per Paper:
0.22
SCImago Journal Rank: 0.348

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