666
ORIGINAL42522001005095115161181234281316
ARTICLES75622001004692132152192227269309
Value4253300100437792130165
of60733001003757
electrocardiogram6803300100355086117145170208239275299336352390429453489549
and124533001003471110
chest137133001002967102132159
X-ray15473300100426589124160
examinations172333001003471107167182220255281297336374402
in214233001001452
preoperative22103300100376196136174210234269296312348383
management260933001005994132167205240300336374400
E622822001004182
|350220010018
VNITŘNÍ4268040010746106127172220280301
LÉKAŘSTVÍ748804001074185130188236280325378400
/11948040010731
Vnitř1270804001074693112140166
Lék.1456804001074083122140
2024;70(8):E3-E101615804001074487129169183224266291333355370412457484528567607
/22678040010731
www.casopisvnitrnilekarstvi.cz442680400107651332012142542953293774274464795215705896176436927117307748128548809159449871007102310631101
A31871880010753
preoperative3256188001075077119168218263289331358376417460
adjustment3733188001074190109156189218291336384410
in4160188001071966
beta-blocker4243188001074994122163191242261309350388431457
or4717188001074874
anti-arrhythmic4808188001074189115134162202229256304342374422495513554
therapy53781880010728761203047202001072768118157
was32252020010765106140
recommended3385202001072770111158232305350398447491541
in3947202001071967
840352020010743
(0.34%)409920200107246782127172236258
patients.4378202001074991118137181229256291307
An47062020010753101
unnecessary4828202001074896144188229271305339380407450
test5299202001072770104133
or5452202001074875
delay3047216001074993112153191
in3255216001071967
surgery,3338216001073481107155199226269280
due3635216001074996140
to3792216001072874
an3883216001074189
abnormal3989216001074190139187214288329348
ECG4353216001074293146
and4516216001074189138
CXR46712160010751102146
finding,483421600107244391141159207256272
occurred5123216001074789127175201229271321
in5461216001071967
353047230001074384
(1.48%)314623000107236272115159224244
and3406230001074087135
163556230001074381
(0.68%)365323000107236479122166231251
patients,3920230001074989115133176223249282298
respectively.4233230001072668100148192232261279319361380418430
Reasons4678230001074588127159206253285
for497923000107236995
unnecessary5090230001074793140183223264297329370395437
tests3047244001072870104133168
and3235244001074088138
delays3393244001074993112152191225
are3638244001074167110
listed37682440010719377099141192
in3979244001071967
Table4066244001074176126146190
4.4275244001074460
The3187258001074291134
relationship333625800107266987127153171218266298345362411
between3762258001074993120187229273321
selected409725800107347796139179209250299
patient4411258001075091117135178225251
characteristics4677258001074087127152193233262304329348379408425465499
and5191258001074188136
PCCS5342258001074596143185
due3047272001074995138
to3200272001072873
ECG3288272001074292144
and3446272001074188136
CXR35972720010751101145
findings375627200107244389138155202250282
is4053272001071950
shown4118272001073480128191239
in4372272001071865
Tables4452272001074276124143186218
546852720010744
and4744272001074087136
6.4894272001074460
All496827200107537188
patients5071272001075090116134177224250284
with5369272001076583110158
a30472860010741
PCCS3111286001074595142184
due3318286001074996139
to3480286001072773
an3576286001074188
SVT3686286001074288134
on3843286001074896
the3961286001072875119
ECG4102286001074292144
had4269286001074888137
a44282860010741
significantly449228600107335199146164187206245286333359377416
higher4931286001074866114161204230
heart5183286001074992131157187
rate539228600107276894136
(HR)3047300001072479124146
than3212300001072775115162
those3392300001072875123156199
without3609300001076584111158206253280
an3908300001074188
SVT4014300001074288134
(mean4167300001072494137177224
HR:44093000010757101117
1414545300001074382119
vs.468230000107417490
794790300001074485
bpm,4894300001074999172187
p=0.001).50993000010750105150165208253292309321
All543930000107527188
patients3047314001074989115133175222247280
with3342314001076482109156
an3512314001074087
SVT3613314001074287132
had3760314001074787135
an3909314001074087
HR40103140010756100
above4125314001074088136174216
1244355314001074480119
bpm.4488314001074998170185
These4687314001074290133165208
patients4909314001074989115133175221247280
were52043140010764106131173
also539131400107405889136
significantly304732800107335098145162185203242283329355373411
older3473328001074766114156182
than3669328001072875114161
the3844328001072875118
others3976328001074874121163189222
(mean4212328001072494136175222
774448328001074486
vs.454932800107407388
634652328001074485
years,4751328001074082120145178193
p=0.048),49593280010749103149163206251295316328
and5302328001074087135
all545232800107405875
were30473420010765108133175
over3238342001074887129155
713409342001074484
years3508342001074082121147180
old.3704342001074867115130
Further3850342001074186112142189232258
analysis4124342001074088127145185218235267
showed4406342001073481128192235284
that4706342001072875115141
ages4863342001074089132165
≥725043342001075494136
years5195342001074082121147180
and5391342001074188136
heart3047356001074891130156185
rates324735600107276793135167
≥1253429356001075488124167
bpm3611356001074998171
were37973560010765107133175
statistically3986356001073462102128146177205223262303321338377
significant437835600107335199145163186205244284331357
predictors4750356001074975117166184223252298323357
of5121356001074871
a52073560010741
change5262356001074087127174222265
in3047370001071966
preoperative3131370001075076118166215259285326352370410452
management,36023700010773113161200249292365408455481497
due4117370001074996139
to4274370001072874
an4366370001074188
abnormal4473370001074189137185211284324342
ECG4834370001074192144
(Table4996370001072468102151170213
7).522737000107446880
There5326370001074190134159201
Tab.42552001135092143169
2.61852001135480
Characteristics72553001074893138163205242269305331348377403421458489
of122753001074567
a1307530010745
physiological136653001074490125156173217236280325343380424442
ECG;182153001073986135150
any198453001074591126
ECG212353001073986135
findings22715300107234287132150195239269
other255353001074570115153178
than274553001072671115161
those42564001072672117147185
listed626640010719376692129174
were81764001076299125162
considered99564001073881127157174219257283320365
abnormal137764001074590137182208279324343
Parameter4567800984585115156225267296338367
Normal130678009854100130198240261
Values15847800984887108154197231
Rhythm4569000954084119147190256
sinus1306900095304689132162
rhythm,14859000952467102130173239253
including1756900095165996113155199216259303
respiratory2077900095246292137154178215240281306344
arrhythmia2439900095366084128163191234300317353
Rate45610200954077102140
below130610200954484102145203
100152710200953974115
beats/min166010200954484120145176205269286329
PQ45611400954094
interval5681140095175984122146185222240
120-200130611400953973111138173212253
ms157611400956696
QRS45612600955495133
interval6071260095165983122146185222239
below130612600954484102145203
120152712600953972111
ms165512600956696
QT45613800955490
interval5641380095165984122146185222239
below130613800954484102145203
450152713800953976114
ms165913800956595
ST45615000953776
segment55015000952969114180219262287
no130615000954386
changes141015000953579115158202242272
in170015000951659
ST177715000953776
segment187015000953070115180220263287
T456162009537
wave51116200955795130169
negative130616200954383127164188205242281
T1605162009537
wave165916200955895131170
in184616200951760
leads19231620095175793137167
III,2107162009517345165
aVR,219016200953675117132
V1234016200954179
Tab.304752001135093144171
3.324552001135479
Characteristics335253001074894139165208245273309335353383409427464496
of386453001074568
an394853001074592
abnormal405653001074590137182208279324343
chest441553001073783122153179
X-ray46105300107446995138175
Characteristic30786700984793135164205242272314343364398428449485
Diagnosis43176700985576118164211257291312346
Cardiothoracic30787900954683107150167210234278321345383419436472
index35687900951659103143179
above37647900953781125161200
0.53981790095405493
aortic43177900953680104132149185
dilatation4520790095436077113138175199217260303
pulmonary30789100954487105170214257294317356
congestion34529100953577121165204235261278321365
fluidothorax4317910095214184101145188213256299324361397
mediastinal3078103009566105150167203233259276319356373
dilatation34691030095436077113138175200217260303
pneumonia431710300954488127170236279323340376
atelectasis30781150095366199116156193220257287304333
tracheal43171150095254986123166205241258
deviation459311500954483120137173198215258302
or491211500954367
stenosis49961150095305695138181211228257
pleuritis307812700954462101144168185211228257
adhesions431712700953681124163194210253297327
or466112700954367
post-inflammatory474512700954589119145167185228249269306371437474498540564603
changes431713700953679115158203242272
emphysema3078149009539105149193227258297363400
tumor431714900952568133177201
or453614900954267
metastases4620149009566105130168197224261291330361
rib30781610095244185
fractures31811610095214683120147190214252282
pneumothorax431716100954488127170236279304347391415452488
Tab.425182001135093144171
4.622182001135481
Reasons730183001074482127157201248278
for102318300107236793
unnecessary1131183001074692138176214250282312357382422
testing156818300107266394120138184229
or1812183001074571
surgery1898183001073176101145183209248
delay,2161183001074684102147184197
with2373183001076381107153
no2541183001074691
change2647183001073884129175220258
in425194001071965
pre-operative506194001074571108135183228267293336361379417454
management9771940010771116163208253291363401447472
Aortic45620800954789114141158195
dilatation6682080095446178114139176200217260304
on98920800954386
CXR,109320800954691131147
TTE125720800953780118
with139320800955875100144
only155420800954386103139
mild17112080095658299143
dilatation18722080095436077114138175200217260304
Poorly45622000954082126150168204
described67722000954483113150174191236276321
CXR101522000954691131
image116422000951682119163202
Suspected45623200953779109153193230258296341
pneumothorax,81423200954488128170236280304347391415452488504
CT133523200954686
negative143923200954382127163188205242281
Pulmonary4562440095408299165208252288312351
congestion82424400953678121166205236262279322365
on120724400954286
CXR,131124400954590131146
TTE147524400953779118
normal161024400954387111177214231
or185924400954267
insignificant19432440095176090106150193210232250286323366390
Pneumonia45625600954083122165231274318335371
on84425600954386
CXR,94825600954691131147
but111225600954488113
surgery12432560095297295139178202241
urgent150125600954366110149192216
CTI45626800954686104
above57826800953681125161200
0.5,7952680095395393106
TTE91826800953880118
with105426800955875100144
restrictive12152680095246293119143160197224241278317
filling154926800952139567390132177
pattern174326800954482106134172196239
Pneumonia45628000954083122165231274318335371
on84428000954386
CXR,94828000954691131147
pulmonary111228000954488105170214257294318356
consult148628000953577121151193210235
negative173928000954282127163188205242281
Ischemic4562920095174683126166231248284
changes75829200953679115158202242272
on104829200954286
ECG,115129200953883131146
biomarkers131429200954562105171208232266305329360
negative169129200954383127164188206242281
Ischemic4563040095174683126166231248284
changes75830400953679115158202242272
on104830400954286
ECG,115130400953883131146
TTE131430400953880119
negative145030400954383127164188205242281
Abnormal45631600954791135178203269306323
ECG,79731600953783130145
HCM95931600955197160
on113631600954387
bed-side124031600954485129155185201246285
TTE,154331600953779118132
no169331600954386
risk17973160095234170104
or191831600954367
other200331600954267110150174
change219431600953679116159203242
Atrial4563280095477195112148166
fibrillation6393280095213983108125142159195220237280324
on98032800954386
ECG,108432800953783130145
TTE124732800953779118
with138232800955876101144
mid-range154432800956582126151176213256301340
ejection19023280095385695132159176219263
fraction21823280095214684120147164207251
Abnormal45634000954791135178203269306323
ECG,79734000953783130145
TTE96034000953779118
with109534000955875101144
reduced125634000952463107150186224269
ejection15433400095395695132159176219263
fraction18233400095214684120147164207251
CXR45635200954384123
–593352009540
chest64835200953374108137160
X-ray;8233520095396185123156171
TTE100835200953675111
–1133352009540
transthoracic11883520095234684126153176217258281320353370403
echocardiography;160535200953468109150184223247285302343384407445486528559574
CT219335200954381
–2289352009540
computed234335200953372136177218241274315
tomography;26723520095236212616745636200954063102142184216231
CTI7013620095438198
–813362009540
car-diothoracic8683620095337396117160176217240281322345383417433467
index;13493620095175898133167182
ECG154536200953679123
–1682362009540
electrocardiogram;17363620095345185119144167206241280303342359399440463502565579
HCM232936200954892152
–2496362009540
hypertrophic2550362009541731141491721982212604563720095408298132
cardiomyopathy6023720095347396135152192256288328369410433475507
Tab.425392001135093144171
5.623392001135479
Relationship729393001074482100145171189234281311356374419
between1164393001074584111175212251297
selected147739300107316987126163191227273
patient1766393001074591117135173219244
characteristics2027393001073783128154196234261298324342371397415453484
and2528393001074591136
surgery2681393001073175100144182208247
post-ponement2945393001074591121147171218263310348420458504529
or3491393001074571
cancelation,3578393001073781127165201220265291309354400416
due4010393001074591129
to4155393001072770
electrocardiogram424139300107385795133160186230268312338381399444490516559630
findings488739300107234288133152198243272
Parameter45640700984585115156225267296338367
Category189340700984788117158206252281324
No2715407009854100
Delay283240700985597119160200
N3048407009854
=3119407009848
2.358318340700984364110152195
PCCS385140700984593138181
N4048407009854
=4119407009848
44183407009843
P5008407009845
Age,45641900985197139159
y631419009840
63292141900953977
(±15)301641900952168101135156
77392641900953978
(±6)402241900952168108129
0.048493341900984362106150195
Hypertension45643100985495143185215246287334368389435481
No200843100955194
1.02928714310095394989126165
(43.6)30534310095225996110150170
13924431009539
(25.0)39814310095215999112152172
0.63749474370095395393131167
Yes200244300954075106
1.32928704430095394990126165
(56.4)30524430095226098113152172
33925443009539
(75.0)39824430095216097110150171
Chronic45645500984793122168215236273
coronary74545500983681111157203245274317
syndrome107845500983475122170199245314356
No200845500955194
1.97128724550095394987124161
(83.6)30514550095215997111151171
13924455009539
(25.0)39814550095215999112152172
0.016493746100984362106146187
Yes200246700954075106
387289846700953978115
(16.4)30314670095215792107146165
33925467009539
(75.0)39824670095216097110150171
Chronic45647900984793122168215236273
heart74547900984688130159189
failure9514790098266788109156185227
No200847900955194
2.29628724790095395394132173
(97.4)30624790095215895102141160
33925479009539
(75.0)39824790095216097110150171
0.10349504850095395388123161
Yes200249100954075106
62293349100953977
(2.6)30274910095216074114134
13924491009539
(25.0)39814910095215999112152172
Ischemic4575030098215592139181250271308
or78150300984575
hemorrhagic87250300984688157203232262308350396417454
stroke4575130098336392138179220
No200850300955194
2.15428755030095395388122161
(91.3)30545030095215894104145164
33925503009539
(75.0)39825030095216097110150171
0.30549455090095395393132171
Yes200251500954075106
204291151500953978119
(8.7)30475150095215974113135
13924515009539
(25.0)39815150095215999112152172
Atrial45652700985178107129170191
fibrillation6645270098254896125146168189230259280326372
No200852700955194
2.16728775270095395388123160
(91.9)30545270095225895105143163
23924527009539
(50.0)39815270095215997111151172
0.036493553300984362106148192
Yes200253900954075106
191292153900953973109
(8.1)30485390095215974109125
23924539009539
(50.0)39815390095215997111151172
Diabetes45755100985576118165208237279313
No200855100955194
1.82028715510095394990128167
(77.2)305555100952160100106147167
43907551009539
(100.0)39645510095215792133147187207
0.58049455570095395393132172
Yes200256300954075106
538289456300953976115
(22.8)30275630095215999113153174
03944563009539
(0.0)40015630095215973113133
Pulmonary45757500984590112180226273314343386
disease86057500984668102144186220262
No200857500955194
2.05128735750095395393131166
(87.0)30575750095215996103143163
23924575009539
(50.0)39815750095215997111151172
0.05049465990095395393131170
COPD196158700954697138189
132291758700953973110
(5.6)30445870095215972112133
13924587009539
(25.0)39815870095215999112152172
AB201259900954787
100291459900953975116
(4.2)30475990095215872113133
03944599009539
(0.0)40015990095215973113133
ACOS196561100954791143179
14293461100953974
(0.6)30266110095215973113133
03944611009539
(0.0)40016110095215973113133
Other196262300955480124163187
61293562300953973
(2.6)30266230095215973113133
13924623009539
(25.0)39816230095215999112152172
BMI457635009846113136
27.828856350095397683124
(±5.6)302663500952169109122162182
29.638806350095397890130
(±7.9)402763500952169107113151171
0.40249466350095395392133170
Smoking457647009842110156198220267313
Non-smoker185564700955194138163194259303337376400
1.37928706470095394990126164
(58.5)30516470095215998113153174
23925647009539
(50.0)39826470095215997111151172
0.06249456590095395393133171
Smoker1934659009537102146181219243
702289665900953976114
(29.8)30276590095216098110151171
03944659009539
(0.0)40016590095215973113133
Ex-smoker18886710095377497128193237271310334
277290167100953976115
(11.7)3034671009521578898137159
23925671009539
(50.0)39826710095215997111151172
Potassium,45768300984590118160194228249295364384
mmol/l858683009867136182204231253
4.2428626830095395394130
(±0.48)300968300952169109123162203223
4.1338586830095395388121
(±0.22)399768300952168109123163203223
0.55649476830095395393130169
CRP,45769500984793139150
mg/l624695009868114142164
82919695009539
(3–42)297669500952159100142178199
68387669500953979
(5–157)397369500952159100135169206228
0.29249466950095395394132170
Systolic45770700984280114143189211232268
blood74270700984768114161209
pressure,96770700984776118153187232262304324
mmHg457717009868136191238
139290371200953973110
(±21)303171200952168108144160
128389671200953973111
(±18)402471200952269102137157
0.29949457120095395394132172
Diastolic45772900985576118152181226248269306
blood77972900984769115161209
pressure,100472900984777119153187233262304324
mmHg457739009868136191238
80292173400953979
(±12)301873400952168101135155
71391373400953976
(±10)400673400952169102137158
0.14449487340095395388123165
Heart45775100985496138167198
rate,6717510098297098140160
beats/min84775100984790131160194222289310357
79292175100953977
(±16)301575100952269102137157
141389875100953974108
(±15)402475100952168101135156
0.001493575100984362106151191
Values4577630095407794135169197
are6687630095416497
the7797630095246599
mean89276300956498139180
(±standard10877630095216594118157198239279302341
deviation),144376300954074109125165189205246287306319
number177676300954182146186221244
(%),20347630095227796109
or215776300954064
median223576300956498139155196237
(intraquartile24867630095223879102125163204244285308333350366400
range),290176300952361103143177197210
as312576300954068
indicat-ed.32077630095165898115148188211233269310325
PCCS354676300953882122157
–3718763009540
postponement377276300954081108132173214255290353388429452
or423876300954064
canceling431676300953373114148181197214255296
of462676300954061
surgery;47017630095286790129164187222237
SD495276300953584
–5051763009540
standard51057630095285190131172213236275
deviation;5394763009540744577730095345090114130171212225
COPD69777300954392131180
–891773009540
chronic9467730095337497136178194228
pul-monary11887730095418298122187228269310333368
obstructive157177300954081108131154195229254270304337
disease;19237730095405783117157185218232
AB217077300954381
–2265773009540
bronchial232077300954063103144178219236276293
asthma;26277730095406791132196236250
ACOS289177300954385134168
–3073773009540
asthma-COPD31287730095406791132195236260306355394443
overlap358577300954074107131147188228
syndrome;382877300952761102143166205269304318
BMI416077300953999116
–4290773009540
body-mass434577300954081122156180244285312339
index;46997730095165798132166181
CRP489577300954381119
–5029773009540
C-reactive50837730095435680113154187212228263296
protein;45778300954064103126159176217230
IQR70278300951668108
–824783009540
interquartile8797830095165780113136175215256279305321337372
range126578300952361103143177