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

Authors

  • Machihude PIO Teaching and Research Unit in Cardiology and Vascular Diseases, University of Kara, Togo
  • Abalo Mario BAKAI University Hospital of Kara (CHU Kara), Kara, Togo
  • Ablawa Akpé ADZODO University Hospital of Kara (CHU Kara), Kara, Togo
  • Borgotia D ATTA University Hospital of Kara (CHU Kara), Kara, Togo
  • Yaovi Mignazonzon AFASSINOU Teaching and Research Unit in Cardiology and Vascular Diseases, University of Lomé, Togo.
  • TCHEROU Tchaa Sylvanus Olympio University Hospital (CHU-SO), Lomé, Togo.
  • Sarakawabalo ASSENOUWE University Hospital of Kara (CHU Kara), Kara, Togo
  • Hamza D SAMA Teaching and Research Unit in Anesthesia and Intensive Care, University of Lomé, Togo.
  • Soulemane PESSINABA Teaching and Research Unit in Cardiology and Vascular Diseases, University of Lomé, Togo.
  • Lihanimpo DJALOGUE University Hospital of Kara (CHU Kara), Kara, Togo
  • KAZIGA Wiyaou Dieu-Donné Teaching and Research Unit in Cardiology and Vascular Diseases, University of Lomé, Togo.
  • AKALA Yoba Gnimdou Teaching and Research Unit in Anesthesia and Intensive Care, University of Lomé, Togo.

Keywords:

cardiac risk, predictors, non-cardiac surgery, preoperative, Togo.

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.

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Published

2022-12-01

Issue

Vol. 2 No. 1: Current Issue

Section

Articles