October 27, 2017Anesthesia & AnalgesiaOpen Access

A Prospective International Multicentre Cohort Study of Intraoperative Heart Rate and Systolic Blood Pressure and Myocardial Injury After Noncardiac Surgery: Results of the VISION Study

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Why the study?

Are intraoperative extremes in heart rate and systolic blood pressure associated with myocardial injury after noncardiac surgery?

Population

Up to 16,061 noncardiac surgical patients from the prospective international VISION cohort study.

Design

Cohort

Follow-up

30 days

Authors

TATom Abbott RPRupert M. Pearse AAAndrew Archbold

Discussion

Member takes

Overview

These associations warrant caution but should not yet change practice; leaves open whether optimizing intraoperative hemodynamics reduces MINS.

Structured PICO

Are intraoperative extremes in heart rate and systolic blood pressure associated with myocardial injury after noncardiac surgery?

Population

Up to 16,061 noncardiac surgical patients from the prospective international VISION cohort study.

Intervention

Intraoperative hemodynamic extremes (maximum HR >100 bpm, minimum HR <55 bpm, maximum SBP >160 mm Hg, minimum SBP <100 mm Hg)

Outcome

Myocardial injury after noncardiac surgery (MINS), defined by an elevated serum troponin T adjudicated as due to an ischemic etiology, within 30 days after surgeryhard clinical

Intraoperative tachycardia (>100 bpm) and hypotension (<100 mm Hg) are significantly associated with an increased risk of myocardial injury and mortality within 30 days after noncardiac surgery.

Cite This Study

Abbott et al. (2017) studied this question.

synapsesocial.com/papers/69fa8a079fa336b96d47d903 https://doi.org/10.1213/ane.0000000000002560

View Full Paper

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October 27, 2017Anesthesia & AnalgesiaOpen Access

A Prospective International Multicentre Cohort Study of Intraoperative Heart Rate and Systolic Blood Pressure and Myocardial Injury After Noncardiac Surgery: Results of the VISION Study

View Full Paper

Ask AI

Bookmark

Why the study?

Are intraoperative extremes in heart rate and systolic blood pressure associated with myocardial injury after noncardiac surgery?

Population

Up to 16,061 noncardiac surgical patients from the prospective international VISION cohort study.

Design

Cohort

Follow-up

30 days

Authors

TATom Abbott RPRupert M. Pearse AAAndrew Archbold

Discussion

Member takes

Overview

These associations warrant caution but should not yet change practice; leaves open whether optimizing intraoperative hemodynamics reduces MINS.

Structured PICO

Are intraoperative extremes in heart rate and systolic blood pressure associated with myocardial injury after noncardiac surgery?

Population

Up to 16,061 noncardiac surgical patients from the prospective international VISION cohort study.

Intervention

Intraoperative hemodynamic extremes (maximum HR >100 bpm, minimum HR <55 bpm, maximum SBP >160 mm Hg, minimum SBP <100 mm Hg)

Outcome

Myocardial injury after noncardiac surgery (MINS), defined by an elevated serum troponin T adjudicated as due to an ischemic etiology, within 30 days after surgeryhard clinical

Intraoperative tachycardia (>100 bpm) and hypotension (<100 mm Hg) are significantly associated with an increased risk of myocardial injury and mortality within 30 days after noncardiac surgery.

Cite This Study

Abbott et al. (2017) studied this question.

synapsesocial.com/papers/69fa8a079fa336b96d47d903 https://doi.org/10.1213/ane.0000000000002560

Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

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