Cardiovascular Profile And Risk of Patients During Non-Cardiovascular Surgery Scheduled at Sylvanus Olympio University Hospital in Lome

Abstract

Objective: To describe the cardiovascular profile and the preoperative cardiovascular risk stratification prior to scheduled non-cardiac surgeries at CHU SO. Materials and methods: This is a retrospective and descriptive study on the records of patients received in consultation in the Cardiology and anesthesia departments of the CHU-SO of Lomé from March 2014 to October 2019. Results: A total of 220 patient records were selected. The mean age was 57.1±14.4. In 81% of cases, these are minor predictors; intermediate predictors are found in 9.1% of cases and in 1.4% they are major factors. Patients were classified as ASA1 (50.0%), ASA 2 (39.1%), ASA 3 (9.6%), and ASA4 (41.3%). As age increased, patients had a major predictor factor or were classified as ASA3 and ASA4. The predictors of minor operative risk were hypertension (70.3%) followed by age correlated with sex (48.2%) in men, metabolic syndrome (21.8%), and left ventricular hypertrophy (LVH) (21.0 %). Intermediate predictors were dominated by diabetes (9.1%), chronic myocardial ischemia (6.8%), and RI (4.5%). Patients with diabetes (9.1%) or morbid obesity (7.7%) were classified as ASA3 Heart failure (1.4%) and renal failure (4.5%) classified patients as ASA4. Conclusion: The predictors of cardiovascular risk for NCS are multiple and are observed in the same patients. The overall operative risk is moderate to medium.