596
ORIGINAL488722001005095115161181234281316
ARTICLES521822001004692132152192227269309
Value29433300100437792130165
of312533001003757
electrocardiogram31983300100355086117145170208239275299336352390429453489549
and376333001003471110
chest388933001002967102132159
X-ray40653300100426589124160
examinations424133001003471107167182220255281297336374402
in466033001001452
preoperative47283300100376196136174210234269296312348383
management512733001005994132167205240300336374400
|5584220010018
E3564222001004177
/36358040010732
Vnitř3712804001074592111139166
Lék.3897804001074184122140
2024;70(8):E3-E104057804001074487128168182224265290332355369411456483527566606
/47088040010731
VNITŘNÍ48058040010746106127172220280301
LÉKAŘSTVÍ5128804001074084130188235279324377399
www.casopisvnitrnilekarstvi.cz42580400107651332012142542953293774274464795215705896176436927117307748128548809159449871007102310631101
https://doi.org/10.36290/vnl.2024.10343614400100376493132161177199218457944001004081994677440010015537711513748164400100287389124167204247293316355396414432470516552591609633679712
Value4259800275140255321449568
of10709800275120211
electrocardiogram1358980027511418029940049158571181193310261154122013451473156616851872
and33079800275116244373
chest3757980027596224343447536
X-ray43709800275142231324443568
examinations425124002751132383585456117398609501016114212691374
in18761240027560188
preoperative2141124002751232163354615897078019191009107512011316
management353412400275181303431552681799987110512341323
Bronislav4251630013766108172237267315346404461
Č908163001373333
apek1,2,97316300137581241832431215164008036518913051630013729
Jan13561630013745103168
Václavík3,4,154616300137701251742052643203514121961164008036539120531630013729
Klára2104163001376799157199257
Benešová5,23831630013766125190248296360417475285716400803628941630013729
Jiří2945163001374575117147
Jarkovský5311416300137461041462052673243714314913604164008036
1Department4251790078334561780013373129191244280319410465526561
of1040178001336192
Internal1155178001332787122176212273325350
Medicine,15291780013388144206231280305365420441
Associated19941780013367112154214264289341376430493
Medical25101780013388144207232280333359
Facility28921780013354102151176201226261316
Krnov,3231178001336097158218269286
Krnov,3541178001335996157217269286
Czech38501780013364112167217277
Republic41501780013359115177237299325350399
2Faculty4251940078334581930013354102151211236272326
of807193001336192
Medicine9231930013388144206231280305365420
and13661930013353114176
Dentistry,15651930013373129189225249292329364419436
Palace20251930013358110135187236289
University23381930013371131156209262298342367402457
Olomouc,28181930013376103163254315375424447
Olomouc,32881930013376102163254314375424447
Czech37581930013364113167217277
Republic40581930013360115177237299325350399
3Department4252090078334592080013373129191244280319410465526561
of1043208001336192
Internal1158208001332787122176212273325350
Medicine15322080013388144206231280305365420
and19752080013353114176
Cardiology,21742080013364117152213238298324384446499516
University27132080013371131156209262298342367403457
Hospital31932080013372133175237263298352377
Ostrava,35932080013376119156192244295348371
Ostrava,39872080013376119156191244295348370
Czech43812080013363112167217277
Republic46812080013359114177237299325350399
4Faculty4252240078334592230013354102151211236272326
of808223001336192
Medicine,9242230013388144206231280305365420441
University13892230013371131156209262298342367402457
of1869223001336192
Ostrava,19842230013376119156192245295348371
Ostrava,23782230013376119156191244295348370
Czech27722230013363112167217277
Republic30722230013359114177237299325350399
5Institute425239007833458238001332687129166191227287323377
of858238001336092
Biostatistics973238001336085145188225278313338381418442491535
and15322380013353113175
Analyses,17302380013368128180206257300355398421
Masaryk21752380013388141184237272327379
University,25772380013372132157209263298342367403458475
Brno,3075238001336095156216237
Czech33362380013363112167217277
Republic36362380013359114177237299325350399
Aims:425289001246694182226253
An7052890012161117
electrocardiogram850289001215075126173209243298345395428485509565623657706790
(ECG)1668289001212877135198226
and19212890012148105162
chest21102890012145101153193228
X-ray2365289001215786121171217
(CXR)2609289001212986145199228
are2864289001214881132
widely3024289001217398155207232280
used3332289001215595146205
in3564289001212380
the3671289001213389141
preoperative3839289001215791141198256308342392425449499549
period44152890012157109143168224282
for4724289001212985119
patients48712890012156106140164215272305347
undergoing524528900121551111692202544253030012156112136193250
non-cardiac7003030012156112168202250300333390414463509
surgery1234303001214095129186237271322
(NCS).1581303001212995154205233253
We18593030012185133
aimed2018303001214872156208266
to2309303001213388
assess2423303001214888128180220260
whether27083030012174131182217273324358
preoperative3092303001215690141198256308342392425449498549
ECG36663030012149107170
and38613030012148104162
CXR40483030012158118172
had42453030012156105162
any44333030012148104151
impact46093030012123107165215261297
on49313030012155112
changes50683030012145101150206263315355
in5448303001212480
preoperative425317001215791142198257309343392426450499549
management9973170012184133189238295346431482539572
for1593317001212985119
an17353170012148104
unselected18633170012155111151202227279325362412470
population23573170012156113171228252301335359415471
undergoing28523170012155111169220254311367391447504
non-elective33803170012155111168201255280331378414438487537
NCS.39413170012165125176198
Methods:4253310012484139178238298359404431
We8753310012184133
retrospectively1028331001213383118151207247304356402439463512562587635
reviewed1683331001213283132156207282332390
records2093331001213383130184218275315
of2428331001215585
hospitalized25333310012155111151209233267317341365409460518
patients30713310012157106140164215271304346
undergoing34373310012155111168220253310366390446503
an39603310012148104
internal4084331001212480113163197253302327
preoperative4430331001215791142198256308342391425449498548
examination4998331001215098147231255311360393417473530
in425345001212380
2015-2021.5293450012151103151196229277328378425442
The9963450012149107158
primary1179345001215791115199248282333
endpoint15373450012150106164222279303359393
was19543450012174123163
a21423450012148
change22153450012144100149206263314
in2554345001212379
preoperative2658345001215790141198256308342392425449498549
management32313450012183133189238295346431482539572
that3828345001213389138171
caused4024345001214594150190242300
postponement43493450012156113154188246303360411496547604637
or5011345001215589
complete51243450012145100184242267318353403
cancelation425359001214595151197247272321354378434491
of939359001215585
a10473590012149
surgery1119359001213995128185236270322
(PCCS),1464359001212882141196247276295
due17823590012157113164
to1969359001213388
an20803590012149105
abnormal22083590012148106163219253338387411
ECG26423590012149108170
or2835359001215589
CXR.29473590012158118172196
Results:4253730012459114159218248286332359
We8053730012185133
enrolled9613730012150107140196221245296355
236213383730012151103155205
patients.15663730012157107140164215272305347369
72%19583730012151103182
had21633730012155104162
an23483730012148104
abnormal24753730012148106162218252337386411
ECG29083730012150108170
and31013730012148104162
33%32853730012152101180
had34883730012155104162
an36723730012149105
abnormal37993730012149106163219253338387411
CXR.42333730012158117171196
PCCS44513730012153112168219
due46933730012156112163
to4879373001213388
an49903730012148104
abnormal51173730012148106162218252337386411
ECG4253870012149107169
or614387001215589
CXR7233870012158117171
occurred9143870012155102146202235269320378
in1312387001212379
414113870012152
(0.17%)1483387001212879100145190269296
and17993870012148104161
519803870012152
(0.21%)2052387001212879100154202276302
patients,23743870012157106140164215271305346368
respectively.2762387001213383124181233280316340389439464512530
In3312387001212380
all341238700121487296
cases,3528387001214595135186226248
the3796387001213389141
change39573870012144100149205262314
in4290387001212480
preoperative4390387001215791141198256308342391425448498548
management49583870012183132188237294345429481537571
was4254010012174123163
due6184010012157112164
to812401001213388
a9304010012149
supraventricular1009401001213995153187236284334390424457482528583608657690
tachyarrhythmia1729401001213483129185232281315349406452490546630654703
(SVT)2462401001212976134189221
on27134010012155112
the2855401001213389141
ECG30264010012149107170
or3226401001215589
pneumonia33454010012157114165221306362419443492
on38674010012155111
the4009401001213389140
CXR.41804010012158117171195
Patients44064010012153101134158210266300341
with4778401001217398132188
PCCS49964010012154112168219
due52454010012157113164
to5439401001213388
SVT4254150012149107162
had6104150012155104162
a7954150012148
rapid866415001213282139164222
heart11104150012156107156190227
rate1360415001213282115166
(HR)1548415001212994149177
(mean17484150012129110162211267
1412038415001215198144
bpm22044150012157115200
vs.2427415001214888111
7925604150012152102
bpm26854150012157115200
in2907415001212480
others).3010415001215589145196230271297317
An33504150012161117
HR34904150012165120
cut-off36334150012145100135164222252286
value3942415001214897122177229
<12541944150012159107152204
bpm44214150012157115200
had46434150012156105162
a48284150012149
100%4899415001215299153234
negative51564150012156107165214247271321371
predictive425429001215791142200224270306330380430
value876429001214998122178229
(NPV)1127429001212994149206238
for1386429001213086120
PCCS.15274290012154113168219241
Patients17904290012153102135159210267300342
with2154429001217398132188
PCCS23644290012153112168219
due26054290012156112163
to2790429001213388
pneumonia29004290012157114165221305362418443491
had34134290012156105162
higher3597429001215680137193244278
C-reactive3897429001215884119170219265301325374424
protein4343429001215791146180231255311
levels4676429001212475124174199239
(CRP)4937429001212885139193220
(median51794290012128110161220244293349
189425443001215198150
mg/l5974430012184141177202
vs.822443001214888111
79554430012152
mg/l10294430012183141176202
in1253443001212480
others).1356443001215488144196230271297317
A16954430012161
CRP17794430012158112166
cut-off19684430012145100135164222252286
value2276443001214998122178229
<6225284430012160110160
mg/l27114430012183140176202
had29354430012156105162
100%3120443001215199153234
NPV33764430012166120177
for3576443001212985119
PCCS.37174430012154112168219241
There39814430012149107158192243
was42464430012174123164
an44324430012148105
increased4559443001212380126159210259299351409
90-day49904430012152105140200249296
postoperative530944300121561131541884254570012155113164198247281305354403
all-cause84845700121487397129177227282322373
mortality12414570012183139173210259284307341392
risk165345700121325796144
in1817457001212379
patients19164570012156106139163214270303345
with2281457001217397131187
HR24884570012165120
above26284570012148105161209259
1002907457001215199152
bpm30794570012157115199
(RR=2.08),3298457001212882137198246268320373400420
increasing3738457001212379125158208257297321377434
even4191457001215099148205
more44164570012183139172223
with4659457001217398132187
higher4866457001215579136192243277
HRs,51634570012165119161183
and53664570012148104161
abnormal4254710012148106163219253337387411
CXR8594710012158118172
findings1054471001212956112170194250308348
compared1425471001214599184242291325376434
to1882471001213388
normal19934710012156112146231280304
CXR23214710012158117171
(RR=2.49).2515471001212983138199248270322373400419
Conclusions:4254850012460117177224254313359388447507552579
Both10274850012154111144201
ECG12514850012149107170
and14444850012148104162
CXR16294850012158117172
had18244850012155104162
very2009485001214898132184
limited2216485001212347131156190240298
value2538485001214897122177229
in2790485001212379
the2893485001213389140
preoperative3056485001215791142199257309343392426450499549
management36294850012183132188237294346430482538572
of4224485001215585
hospitalized43324850012156112152209234268318342366410461520
patients48754850012157106140164215272305347
undergoing524548500121551111692202544254990012156112136193250
non-elective6984990012155111168201255280331378414438488538
NCS.12594990012165125176198
We14804990012184133
recommend1636499001213384130185270354406462520
HR21794990012165120
(>1002322499001212886128176230
bpm)25754990012157115199226
and28244990012148104162
CRP30094990012158112166
(>613198499001212987138185
mg/l)34064990012183140176202231
as3660499001214888
indicators3771499001212480137162207257291346380421
for4215499001212985119
ECG43574990012149108170
and45504990012148104162
CXR47354990012158117172
testing,4930499001213383123158182238296317
rather5270499001213382116172224257
than425513001213389138194
age,6465130012148105156177
as850513001214888
an9655130012148104
addition10965130012148105163187221245301358
to1481513001213388
patient15955130012157107140165216272306
history1927513001215680120155210244295
and22495130012148104162
clinical243751300121456993149174219269293
findings.2757513001212956112170194250308348370
HR31535130012166121
above33005130012148106163211261
1243588513001215196145
bpm37605130012157115199
should3986513001214096152208233290
distinguish4303513001215680120155179235292348372413469
the4798513001213389141
patients49655130012157107141165216272306347
with5339513001217498132188
higher425527001215579136192243277
probability722527001215791146204254311336360384418468
of1210527001215585
changes13155270012144100149205262313354
in1688527001212480
preoperative1788527001215690141197255307341390424448497547
management.23555270012183132188237293345429480537570592
We29675270012184133
also3120527001214872112168
recommend3308527001213383130184269353404461518
using3846527001215595119175232
an40975270012149105
abnormal42215270012149106163219252337386410
CXR46515270012158117171
(if484252700121285282
available)4944527001214895144168193241299324375401
and53655270012148104162
a4255410012148
heart4965410012156107156190227
rate746541001213382116166
exceeding935541001215099143193245303328384441
1001399541001215199153
bpm15755410012157115200
to1798541001213388
identify1909541001212481133189223247277329
patients22615410012157107140164216272306347
at2631541001214982
a27365410012148
higher2808541001215579136192244278
relative3109541001213383108157191215264314
risk344754100121325797145
of3615541001215585
postoperative37235410012157114154189244302354388438471495544594
mortality.43415410012183139173210260284308342393411
Keywords:4255550012461113164244301339400444470
Arrhythmias,916555001216194127182228264319402426474513534
C-Reactive1471555001215883139189237282317340389438
Protein,1930555001215385140172222245300321
Electrocardiography,2272555001215073123169204237291337385418474497552609642690747803848864
Pneumonia,31575550012154108159214297352408431479500
Retrospective36785550012154105138170225264321372418453476524573
Studies,4272555001215081136193216266306327
X-rays4620555001215785119167213252
Význam4255800015077145202270335435
elektrokardiogramu89958000150619616022827732739446252657564467874581486392610271095
a20325800015064
rentgenu21185800015047111179227295358426495
hrudníku26515800015067116184253321355425493
v31835800015065
předoperačním32705800015068117180249317385448498561615683718818
managementu41275800015099164232297365429530593661709777
Cíle:425600001246086116170196
Elektrokardiogram648600001214972123170206239294341391423479503558615647696780
(EKG)1456600001212877130193220
a17046000012148
rentgen1781600001213383138171226277333
hrudníku2142600001215588144200256279328383
(CXR)2554600001212884143196224
jsou2806600001212463119174
běžně30096000012157108151207257
používány32946000012157113169212235284332388434
v37566000012148
předoperačním3832600001215790140198253310362395443488543567650
období45106000012155113170226283307
u48456000012155
pacientů49286000012157106151174225281313368
podstupujících53246000012157113171425614001214074129186242266290335358403458
nekardiální9126140012156106154204236293316365388444467
operace14086140012155112164197246291340
(NCS).1777614001212994152203230249
Cílem2055614001215881106157241
této2325614001213383116171
studie2524614001214074130187210261
bylo28136140012158104129184
zhodnotit,3026614001214399154212268323356380413434
zda34896140012143100148
mají36666140012184132156179
předoperační3874614001215790140198254311363396445490545569
EKG44716140012150104166
a46666140012148
CXR47436140012158117171
vliv494261400121487396145
na51156140012156104
změny52486140012143127178234280
v4256280012148
předoperačním494628001215790140197252309360393442486542565648
managementu11636280012184132187235291341425475531563618
u18026280012156
neselektované18796280012155106145196220270317353407454503558608
populace25096280012157112170225248296341390
podstupující29216280012156112170209243298354410433457501524
neplánované34666280012156106163187235291346393441497547
NCS.40346280012166125174195
Metody:4256420012484138175233294347373
Retrospektivně8156420012154104137170224263319370417453476524580630
jsme1463642001212463146196
analyzovali16776420012148103151174221266320367416439462
záznamy2156642001214393136191239322367
hospitalizovaných25416420012155110149206229262311334357399454501549604649693748
pacientů,33076420012156105149172222278310364385
kteří3710642001214782131164187
podstoupili39156420012157112169208242296351408431454477
interní4410642001212378110159192248271
předoperační4698642001215790139196251308359392440484539562
vyšetření5278642001214898138188221425656001213382138161
v6096560012148
letech679656001212474108157203258
2015–2021.9596560012152102149193245292342391437453
Primárním1435656001215384108191239272328351434
cílovým189165600121456893149196246331
ukazatelem22446560012155102151195244277326350401484
byla27516560012157103127175
změna29496560012142126176232280
předoperačního3251656001215790140197252309360393442486542565622677
managementu,39506560012184132187235291341425476531564618639
která4612656001214783132165213
vedla4848656001214897154178226
k50966560012147
odložení51666560012155112135190232282338361
nebo4256700012155106163219
úplnému6656700012155112136191241325380
zrušení1066670001214375131170220276299
operace13866700012155112163196245290339
(PCCS)1746670001212881139193243271
z20386700012143
důvodu21026700012156111159213270325
abnormálního24486700012148105161216249333381404459482540595
EKG30646700012149103165
nebo32506700012156106163219
CXR.34906700012158116169193
Výsledky:4256840012463114157184236296349404430
Do8716840012166120
studie1008684001213972125181203252
bylo12776840012156101125179
zařazeno1472684001214391123170212261315369
236218586840012151100150198
pacientů.20736840012156104147169218273304358377
Abnormální24676840012160116171224256338385408462484
EKG29686840012148101162
mělo31466840012183132155209
723372684001215099
%34886840012178
a35836840012147
abnormální36476840012148103158211243325372395449471
CXR41356840012157114166
334318684001215098
%44336840012178
pacientů.45276840012157104148170219273305358378
PCCS49226840012152109162211
z51506840012142
důvodu52096840012155109156209265318
abnormálního4256980012148105161216249332381404459482539594
EKG10416980012149102165
nebo12276980012156106163219
CXR14676980012158117170
se1658698001214090
vyskytlo1770698001214899138185235271295350
u21416980012155
422186980012151
(0,17229069800121297999144187
%)24996980012179104
a26256980012148
526946980012152
(0,21276769800121287898151198
%)29866980012179105
pacientů.31126980012157106151174224279312367387
Ve35206980012156103
všech3644698001214887138184239
případech3904698001215790113170219275326371426
byla43526980012157103127175
změna45496980012142126176232280
předoperačního4850698001215790140197252309360393442486541565622677
MUDr.425740009562112164189200
Bronislav64374000954064106150167196213250285
Čapek94674000954583127167201
Department42575200955292136174197225291331374398
of84175200954264
Internal9237520095176084122146190226243
Medicine,1184752009562102147164200217260299312
Associated151475200954778108152189205242266304349
Medical1881752009562102146163200237254
Facility215275200953771107124141158183221
Krnov,239175200954065109152188198
Krnov,260775200954065109152188199
Czech282375200954681119156199
Republic304075200954080124167212230246283
capek.bronislav@szzkrnov.cz42576400953673117158192208254278320364380410427463499556587620656690715759803839850886921
Cit.44287400095466388103
zkr:45487400095336792108
Vnitř467374000954183100125149
Lék.484074000953674109125
2024;70(8):E3-E10498374000953977114150163201238260298318332369409434473509544
Článek45277520095466399142182216
přijat47607520095456986103139164
redakcí:494175200952462107144178213230243
24.52027520095397589
9.530875200953952
2024537775200953978115151
Článek43087640095466399142182216
přijat45417640095456986103139164
po472276400954488
recenzích:48287640095246299137180214231267310323
26.51697640095397792
11.52787640095397081
2024537676400953978115151