Significance of Coronary Vasospasm in the Perioperative Management of Non-Cardiac Surgery

• Nagayoshi Yasuhiro

  Department of Cardiovascular Medicine, National Health Insurance Central Hospital Aso Department of Cerebrovascular and Acute Coronary Syndrome, Graduate School of Medical Sciences, Kumamoto University Department of Cardiovascular Medicine, National Health Insurance Central Hospital Aso Department of Cerebrovascular and Acute Coronary Syndrome, Graduate School of Medical Sciences, Kumamoto University

• Kawano Hiroaki

  Department of Cardiovascular and Renal Medicine, Saga University Department of Cardiovascular and Renal Medicine, Saga University

• Kojima Sunao

  Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University

• Soejima Hirofumi

  Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University

• Kaikita Koichi

  Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University

• Nakayama Masafumi

  Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University

• Sumida Hitoshi

  Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University

• Sugiyama Seigo

  Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University

• Ogawa Hisao

  Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University

Abstract

Background: The number of patients undergoing non-cardiac surgery has been increasing. Thus, the reduction of cardiac events is important during the perioperative period. The prevalence of Japanese patients with coronary vasospasm is higher as compared with Western countries. The present study reported the role of coronary vasospasm in the perioperative period in a Japanese university hospital. Methods and Results: A total of 77,745 consecutive patients who underwent non-cardiac surgery in Kumamoto University Hospital between April 2003 and March 2010 were retrospectively examined. Forty-two cases in which patients underwent coronary catheterization due to cardiovascular events in the perioperative period were reviewed, and data were collected on the type of surgery, urgency of surgery, cardiac risk factors, previous history and the cardiology consultation. The Revised Cardiac Risk Index (RCRI) was also calculated. A total of 18 patients were diagnosed as having definite vasospastic angina. In the definite vasospastic angina group, 9 patients had cardiovascular events intraoperatively. Six patients were in the group undergoing high-risk surgery. The RCRI score in the definite vasospastic angina group was 0.5±0.6 (mean±SEM), and only 2 patients had a preoperative consultation with a cardiologist. Conclusions: Coronary vasospasm is not often encountered, but it can be a cause of cardiac trouble in the perioperative period. It should be taken into consideration at the time of planning of operation in Japanese patients even if they apparently have low cardiac risk.  (Circ J 2012; 76: 1965–1971)<br>

Journal

• Circulation Journal

  Circulation Journal 76 (8), 1965-1971, 2012

  The Japanese Circulation Society

Keywords

• Coronary vasospasm
• Non-cardiac surgery
• Perioperative period

Details

• CRID: 1390001205102148608
• NII Article ID: 10030504850
• NII Book ID: AA11591968
• DOI: 10.1253/circj.cj-11-1278
• COI: 1:STN:280:DC%2BC38novVSnug%3D%3D
• ISSN: 13474820
• ISSN: 13469843
• PubMed: 22664755
• Web Site: https://www.jstage.jst.go.jp/article/circj/76/8/76_CJ-11-1278/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/2013248128
• Text Lang: en
• Data Source:
  • JaLC
  • Crossref
  • PubMed
  • CiNii Articles
  • KAKEN
• Abstract License Flag: Disallowed