Association between preoperative pulse pressure and perioperative myocardial injury: An international observational cohort study of patients undergoing non-cardiac surgery

British Journal of Anaesthesia

Volumn 119, Issue 1, 2017, Pages 78-86

  Abbott, T E F ^a   Pearse, R M ^a   Archbold, R A ^b   Wragg, A ^b   Kam, E ^a   Ahmad, T ^a   Khan, A W ^c   Niebrzegowska, E ^b   Rodseth, R N ^d   Devereaux, P J ^e   Ackland, G L ^a  

^a QUEEN MARY UNIVERSITY OF LONDON   (United Kingdom)

^b BARTS HEALTH NHS TRUST   (United Kingdom)

^c SHAUKAT KHANUM MEMORIAL CANCER HOSPITAL AND RESEARCH CENTRE   (Pakistan)

^d UNIVERSITY OF KWAZULU NATAL   (South Africa)

^e MCMASTER UNIVERSITY   (Canada)

Author keywords

Blood pressure; Cohort studies; High; Hypertension; Pulse pressure; Surgery

Indexed keywords

TROPONIN;

ADULT; AGED; ARTERIAL PRESSURE; ARTICLE; ATRIAL FIBRILLATION; CEREBROVASCULAR ACCIDENT; CHRONIC OBSTRUCTIVE LUNG DISEASE; COHORT ANALYSIS; COMORBIDITY; CONGESTIVE HEART FAILURE; CORONARY ARTERY DISEASE; DIABETES MELLITUS; ELECTIVE SURGERY; EMERGENCY SURGERY; ESTIMATED GLOMERULAR FILTRATION RATE; FEMALE; HEART FAILURE; HEART MUSCLE INJURY; HUMAN; HYPERTENSION; MAJOR CLINICAL STUDY; MAJOR SURGERY; MALE; MALIGNANT NEOPLASM; MEDICAL HISTORY; MIDDLE AGED; NEUROSURGERY; OBSERVATIONAL STUDY; OUTCOME ASSESSMENT; PERIPHERAL VASCULAR DISEASE; PEROPERATIVE COMPLICATION; POSTOPERATIVE COMPLICATION; PREOPERATIVE EVALUATION; PRIORITY JOURNAL; PULSE PRESSURE; SECONDARY ANALYSIS; SYSTOLIC BLOOD PRESSURE; TRANSIENT ISCHEMIC ATTACK; BLOOD PRESSURE; HEART MUSCLE ISCHEMIA; PHYSIOLOGY; PREOPERATIVE PERIOD; STATISTICAL MODEL; SURGERY; VERY ELDERLY;

AGED; AGED, 80 AND OVER; BLOOD PRESSURE; COHORT STUDIES; FEMALE; HUMANS; LOGISTIC MODELS; MALE; MIDDLE AGED; MYOCARDIAL ISCHEMIA; POSTOPERATIVE COMPLICATIONS; PREOPERATIVE PERIOD; SURGICAL PROCEDURES, OPERATIVE;

EID: 85026649623     PISSN: 00070912     EISSN: 14716771     Source Type: Journal    
DOI: 10.1093/bja/aex165     Document Type: Article

References (52)

1. Botto F, Alonso-Coello P, Chan MT, et al. Myocardial injury after noncardiac surgery: a large, international, prospective cohort study establishing diagnostic criteria, characteristics, predictors, and 30-day outcomes. Anesthesiology 2014;120:564-78
2. Vascular Events in Noncardiac Surgery Patients Cohort Evaluation (VISION) Study Investigators, Devereaux PJ, Chan MT, et al. Association between postoperative troponin levels and 30-day mortality among patients undergoing noncardiac surgery. JAMA 2012;307:2295-304
3. International Surgical Outcomes Study Group. Global patient outcomes after elective surgery: prospective cohort study in 27 low-, middle- and high-income countries. Br J Anaesth 2016;117:601-9
4. Abbott TEF, Fowler AJ, Dobbs T, Harrison EM, Gillies MA, Pearse RM. Frequency of surgical treatment and related hospital procedures in the United Kingdom: a national ecological study using hospital episode statistics. Br J Anaesth 2017 in press; DOI: 10.1093/bja/aex137
5. Sanders RD, Bottle A, Jameson SS, et al. Independent preoperative predictors of outcomes in orthopedic and vascular surgery: the influence of time interval between an acute coronary syndrome or stroke and the operation. Ann Surg 2012;255:901-7
6. Howell SJ, Sear YM, Yeates D, Goldacre M, Sear JW, Föex P. Hypertension, admission blood pressure and perioperative cardiovascular risk. Anaesthesia 1996;51:1000-4
7. Sanders RD. How important is peri-operative hypertension? Anaesthesia 2014;69:948-53
8. Joffres M, Falaschetti E, Gillespie C, et al. Hypertension prevalence, awareness, treatment and control in national surveys from England, the USA and Canada, and correlation with stroke and ischaemic heart disease mortality: a crosssectional study. BMJ Open 2013;3:e003423
9. Hartle A, McCormack T, Carlisle J, et al. The measurement of adult blood pressure and management of hypertension before elective surgery: Joint Guidelines from the Association of Anaesthetists of Great Britain and Ireland and the British Hypertension Society. Anaesthesia 2016;71:326-37
10. Soni S, Hartle A. What is a 'safe blood pressure' for anaesthesia? Anaesthesia 2015;70:232-3
11. Carlisle J. Too much blood pressure? Anaesthesia 2015;70:773-8
12. Mayor S. Only patients with BP below 160/100 should be referred for surgery to avoid cancellations, guidelines say. Br Med J 2016;352:i296
13. Chobanian AV, Bakris GL, Black HR, et al. The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure: the JNC 7 report. JAMA 2003;289:2560-72
14. Mathis MR, Naughton NN, Shanks AM, et al. Patient selection for day case-eligible surgery: identifying those at high risk for major complications. Anesthesiology 2013;119:1310-21
15. Selvaraj S, Steg PG, Elbez Y, et al. Pulse pressure and risk for cardiovascular events in patients with atherothrombosis: from the REACH registry. J Am Coll Cardiol 2016;67:392-403
16. Haider AW, Larson MG, Franklin SS, Levy D; Framingham Heart Study. Systolic blood pressure, diastolic blood pressure, and pulse pressure as predictors of risk for congestive heart failure in the Framingham Heart Study. Ann Intern Med 2003;138:10-6
17. Franklin SS, Khan SA, Wong ND, Larson MG, Levy D. Is pulse pressure useful in predicting risk for coronary heart disease? The Framingham Heart Study. Circulation 1999;100:354-60
18. Assmann G, Cullen P, Evers T, Petzinna D, Schulte H. Importance of arterial pulse pressure as a predictor of coronary heart disease risk in PROCAM. Eur Heart J 2005;26:2120-6
19. Ackland GL, Iqbal S, Paredes LG, et al. Individualised oxygen delivery targeted haemodynamic therapy in high-risk surgical patients: a multicentre, randomised, double-blind, controlled, mechanistic trial. Lancet Respir Med 2015;3:33-41
20. Pearse RM, Harrison DA, MacDonald N, et al. Effect of a perioperative, cardiac output-guided hemodynamic therapy algorithm on outcomes following major gastrointestinal surgery: a randomized clinical trial and systematic review. JAMA 2014;311:2181-90
21. Abbott TE, Ackland GL, Archbold RA, et al. Preoperative heart rate and myocardial injury after non-cardiac surgery: results of a predefined secondary analysis of the VISION study. Br J Anaesth 2016;117:172-81
22. Jammer I, Wickboldt N, Sander M, et al. Standards for definitions and use of outcome measures for clinical effectiveness research in perioperative medicine: European Perioperative Clinical Outcome (EPCO) definitions: a statement from the ESA-ESICM joint taskforce on perioperative outcome measures. Eur J Anaesthesiol 2015;32:88-105
23. Bornstein MH, Hendricks C. Screening for developmental disabilities in developing countries. Soc Sci Med 2013;97:307-15
24. McGrail MR, Humphreys JS, Joyce CM. Nature of association between rural background and practice location: a comparison of general practitioners and specialists. BMC Health Serv Res 2011;11:63
25. Hawn MT, Graham LA, Richman JS, Itani KM, Henderson WG, Maddox TM. Risk of major adverse cardiac events following noncardiac surgery in patients with coronary stents. JAMA 2013;310:1462-72
26. Lee TH, Marcantonio ER, Mangione CM, et al. Derivation and prospective validation of a simple index for prediction of cardiac risk of major noncardiac surgery. Circulation 1999;100:1043-9
27. Vandenbroucke JP, Von Elm E, Altman DG, et al. Strengthening the Reporting of Observational Studies in Epidemiology (STROBE): explanation and elaboration. Int J Surg 2014;12:1500-24
28. Walter S, Tiemeier H. Variable selection: current practice in epidemiological studies. Eur J Epidemiol 2009;24:733-6
29. Grant RL. Converting an odds ratio to a range of plausible relative risks for better communication of research findings. Br Med J 2014;348:f7450
30. Beyer K, Taffé P, Halfon P, et al. Hypertension and intraoperative incidents: a multicentre study of 125 000 surgical procedures in Swiss hospitals. Anaesthesia 2009;64:494-502
31. Howell SJ, Sear JW, Föex P. Hypertension, hypertensive heart disease and perioperative cardiac risk. Br J Anaesth 2004;92:570-83
32. Kheterpal S, O'Reilly M, Englesbe MJ, et al. Preoperative and intraoperative predictors of cardiac adverse events after general, vascular, and urological surgery. Anesthesiology 2009;110:58-66
33. Goldman L, Caldera DL. Risks of general anesthesia and elective operation in the hypertensive patient. Anesthesiology 1979;50:285-92
34. Aronson S, Boisvert D, Lapp W. Isolated systolic hypertension is associated with adverse outcomes from coronary artery bypass grafting surgery. Anesth Analg 2002;94:1079-84, table of contents
35. Bond R, Narayan SK, Rothwell PM, Warlow CP, European Carotid Surgery Trialists' Collaborative Group. Clinical and radiographic risk factors for operative stroke and death in the European carotid surgery trial. Eur J Vasc Endovasc Surg 2002;23:108-16
36. Cheng S, Xanthakis V, Sullivan LM, Vasan RS. Blood pressure tracking over the adult life course: patterns and correlates in the Framingham heart study. Hypertension 2012;60:1393-9
37. Cecelja M, Chowienczyk P. Role of arterial stiffness in cardiovascular disease. JRSM Cardiovasc Dis 2012;1:cvd.2012.012016
38. Namasivayam M, Adji A, O'Rourke MF. Influence of aortic pressure wave components determined noninvasively on myocardial oxygen demand in men and women. Hypertension 2011;57:193-200
39. Mitchell GF, Lacourcière Y, Ouellet JP, et al. Determinants of elevated pulse pressure in middle-aged and older subjects with uncomplicated systolic hypertension: the role of proximal aortic diameter and the aortic pressure-flow relationship. Circulation 2003;108:1592-8
40. Torjesen AA, Sigurdsson S, Westenberg JJM, et al. Pulse pressure relation to aortic and left ventricular structure in the Age, Gene/Environment Susceptibility (AGES)-Reykjavik Study. Hypertension 2014;64:756-61
41. Okada Y, Galbreath MM, Shibata S, et al. Relationship between sympathetic baroreflex sensitivity and arterial stiffness in elderly men and women. Hypertension 2012;59:98-104
42. Toner A, Jenkins N, Ackland GL, POM-O Study Investigators. Baroreflex impairment and morbidity after major surgery. Br J Anaesth 2016;117:324-31
43. Howell SJ, Sear JW, Sear YM, Yeates D, Goldacre M, Foex P. Risk factors for cardiovascular death within 30 days after anaesthesia and urgent or emergency surgery: a nested casecontrol study. Br J Anaesth 1999;82:679-84
44. Maurice-Szamburski A, Auquier P, Viarre-Oreal V, et al. Effect of sedative premedication on patient experience after general anesthesia: a randomized clinical trial. JAMA 2015;313:916-25
45. Lyon WJ, Baker RA, Andrew MJ, Tirimacco R, White GH, Knight JL. Relationship between elevated preoperative troponin T and adverse outcomes following cardiac surgery. ANZ J Surg 2003;73:40-4
46. Jackson CE, Castagno D, Maggioni AP, et al. Differing prognostic value of pulse pressure in patients with heart failure with reduced or preserved ejection fraction: results from the MAGGIC individual patient meta-analysis. Eur Heart J 2015;36:1106-14
47. Ackland GL, Abbott T, Pearse RM, Karmali SN, Whittle J. Pulse pressure and postoperative morbidity in high-risk surgical patients. Br J Anaesth 2017;119:78-86
48. Laskey WK, Wu J, Schulte PJ, et al. Association of arterial pulse pressure with long-term clinical outcomes in patients with heart failure. JACC Heart Fail 2016;4:42-9
49. Nkomo VT, Gardin JM, Skelton TN, Gottdiener JS, Scott CG, Enriquez-Sarano M. Burden of valvular heart diseases: a population-based study. Lancet 2006;368:1005-11
50. Abbott TEF, Minto G, Lee A, Pearse RM, Ackland GL. Elevated preoperative heart rate is associated with cardiopulmonary and autonomic impairment in high-risk surgical patients. Br J Anaesth 2017;119:87-94
51. Devereaux PJ, Sessler DI, Leslie K, et al. Clonidine in patients undergoing noncardiac surgery. N Engl J Med 2014;370:1504-13
52. POISE Study Group, Devereaux PJ, Yang H, et al. Effects of extended-release metoprolol succinate in patients undergoing non-cardiac surgery (POISE trial): a randomised controlled trial. Lancet 2008;371:1839-47