A Project to Improve the Diagnosis and Prognosis of Myocardial Injury Associated to Non Cardiac Surgery
NCT03133260 · Status: COMPLETED · Type: OBSERVATIONAL · Enrollment: 800
Last updated 2022-03-22
Summary
Major adverse cardiovascular events are the leading cause of perioperative morbimortality in non-cardiac surgery. Perioperative myocardial infarction is usually asymptomatic, with a mortality around 10-12%.
Myocardial Injury in Noncardiac Surgery (MINS), is defined as a myocardial injury that provokes a troponin increase due to myocardial ischemia. MINS is a predictor of morbimortality at short term and at long term.
The aim of the study is to improve the diagnosis of myocardial injury after non cardiac surgery in high-risk patients, improve its treatment in case of MINS and establish prevention strategies.
Conditions
- Myocardium; Injury
Interventions
- DIAGNOSTIC_TEST
-
Troponin
Troponin will be measured before surgery and postoperative at days 1,2 and 3.
- DRUG
-
Acetylsalicylic acid
100mg acetylsalicylic acid will be started in case of MINS if no contraindication, it will be continued after hospital discharge. We will evaluate cardiovascular complications till 1 year after surgery
- DRUG
-
Statin
40mg atorvastatin will be started in case of MINS if no contraindication, it will be continued after hospital discharge. We will evaluate cardiovascular complications till 1 year after surgery
Sponsors & Collaborators
-
Parc de Salut Mar
lead OTHER
Principal Investigators
-
Sandra Beltran, MD · Anesthetist
Eligibility
- Min Age
- 45 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2017-05-02
- Primary Completion
- 2019-04-30
- Completion
- 2021-10-15
Countries
- Spain
Study Locations
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