926
ORIGINAL488722001005095115161181234281316
ARTICLES521822001004692132152192227269309
Value29433300100437792130165
of312533001003757
electrocardiogram31983300100355086117145170208239275299336352390429453489549
and376333001003471110
chest388933001002967102132159
X-ray40653300100426589124160
examinations424133001003471107167182220255281297336374402
in466033001001452
preoperative47283300100376196136174210234269296312348383
management512733001005994132167205240300336374400
|5584220010018
E9564222001004183
/36358040010732
Vnitř3712804001074592111139166
Lék.3897804001074184122140
2024;70(8):E3-E104057804001074487128168182224265290332355369411456483527566606
/47088040010731
VNITŘNÍ48058040010746106127172220280301
LÉKAŘSTVÍ5128804001074084130188235279324377399
www.casopisvnitrnilekarstvi.cz42580400107651332012142542953293774274464795215705896176436927117307748128548809159449871007102310631101
based42562001075195130176229
on683620010749100
the81262001072979126
risk9676200107274883123
probability111962001075180129181225277298319339369414
for156262001072474103
PCCS1694620010746100151196
and191962001074292144
90209262001074593
day221462001075093134
postoperative2377620010751102138169218270318346390419439483528
mortality425760010774123151183225245264293337
data.78876001074991119161178
Any993760010752101141
patient116076001075092120140185234261
with144876001076585114163
HR1637760010757103
above176776001074191141182227
100202076001074484131
bpm2177760010750101176
is237976001071953
at245876001074169
increased255376001071968109137181222256301352
risk4259000107264679117
of56090001074772
postoperative65090001074998132162209259304331373400420461505
mortality1172900010774122150181223242261289332
as152290001074174
seen161490001073478123171
in180390001071967
the188890001072876120
results.202690001072770104151171199234251
It229590001071947
would2360900010765113161180230
be260890001074994
most2720900010773122156185
convenient425104001074088137177222271290335384412
to863104001072775
distinguish964104001074969102132152201251299319353401
between1391104001075096125193237283332
patients1749104001075092120140185234262297
with2072104001076585114164
increased2262104001071867109136180221255300351
relative263910400107277191132160180222266
risk42511800107274781120
of573118001074873
mortality6741180010774124152184227247266296339
and1042118001074190141
patients1211118001075093121141186235263299
with1538118001076686115165
increased1731118001071968110137181223257302354
risk211311800107274781120
of2261118001074873
PCCS,2362118001074698148192209
which25991180010765115135176225
is2853118001071952
significantly425132001073352100148167191211251293341367387427
higher869132001074866115163207234
in1120132001071966
patients1204132001074990117137180228255290
with1511132001076484112160
HR16881320010756102
above1807132001074090139179222
1242046132001074481121
bpm.2184132001074999173189
The2391132001074190134
difference254313200107486791118162188231279320362
between425146001075096125194239285335
normal788146001074999127203245265
rhythm1082146001072677116149199274
and1384146001074191141
tachycardia1554146001072871113162202243286313363383424
(i.e.,200714600107244360106122138
an2174146001074190
HR22931460010757104
>1242425146001075491129171
bpm)26241460010750102177200
is2852146001071953
easily425160001074485119138158199
distinguishable650160001074968102132152200251299319352401442493514558
during1235160001074997124144193244
routine1505160001072674123152172221266
clinical179716000107406080128148189231251
physical20741600010750100139174193234277297
examinations.2397160001074384126201220269311339358407457491508
Alternatively,425174001075373101145172222264292311353397418459471
HR9211740010757103
can1049174001074083132
be1206174001074995
detected1326174001074994123166209240283334
during1685174001074998125145194244
automatic1954174001074189119166241283311331372
blood2351174001074970119169220
pressure2596174001075078122156190238266309
measurements4251880010775122164199248277322398445495524561
or1015188001074977
with1122188001076687117167
pulse13181880010751102122157203
oximetry.1550188001074989110186233262291336350
294/23621929188001074590137171217263309353
(12.4%)2311188001072566106123168236259
patients2599188001075195124144190241269306
had425202001074890140
HRs5892020010757103138
over751202001074889133161
100935202001074485131
bpm;10902020010750101176191
thus,1305202001072877125159176
with1504202001076586115164
cut-off1691202001074089118143195220248
values1963202001074083102151196230
even2217202001074485129178
as2419202001074175
low2518202001071968134
as2675202001074175
1002774202001074484131
bpm,4252160010750101176193
87.6%64621600107448694140207
of881216001074873
unnecessary982216001074897146191233277311346389416460
ECG1470216001074294148
tests1646216001072872106136172
could1846216001074188138157208
be2082216001075096
prevented2206216001074977121163207257284328379
-26132160010727
saving2668216001073477117138187237
valuable425230001074184105154196248269315
resources769230001072671106157207235275320355
in1153230001071968
today’s1250230001072877129171212231264
medicine15432300010774120172192234254304350
-19222300010727
healthcare1978230001074995137157186236279322350395
professionals.2401230001075179128154199234269289339389431452486504
HR4252440010757104
over557244001074990135163
100748244001074485132
bpm9092440010750101177
should1115244001073383132182202253
give1396244001075069112156
the1581244001072878123
information173324400107196893142170246288316336386436
of2197244001074974
increased2299244001071969110138183224259304356
risk268324400107274781120
of2832244001074873
90-day425258001074490121173214254
postoperative698258001074999134163211262308335377405425467511
all-cause122825800107406080108152194242276321
mortality,15682580010773123150182224244264292336348
but1935258001074999128
not2081258001074898126
necessarily2225258001074994136179214248290318338357398
predict2642258001074977121172191232264
the425272001072878124
change577272001074191133183234279
in885272001071969
the982272001072878124
course1135272001074088138166202248
of1411272001074974
action1514272001074183115135185235
in1778272001071968
preoperative1875272001075078123174225272300343371392434479
management.23832720010774117166208260305381427476505522
However4252860010756104169212253296323
closer765286001074059107140185211
monitoring9942860010772121169188216263290309357406
of1418286001074771
patients1507286001074990118137181229256290
with1815286001076484112160
increased1992286001071967107134177217250294344
risk235428600107264578116
of2487286001074872
mortality25762860010773121148180221240259287329
should425300001073482132181200251
be697300001075096
emphasized.8143000010744118169218260294313351395446463
Based565314001074588122167218
on808314001074898
the930314001072877122
results,1077314001072771105153173202238254
ECG1356314001074294148
should1529314001073382131180200250
also180431400107416194144
be1972314001075096
performed2093314001074995123150199227302347398
in2516314001071968
patients2608314001075093121140185234262298
with425328001076585114163
previously607328001074977121163183232281315334375
known1001328001073888138203253
chronic1272328001074189117165214234275
coronary1565328001074088116164213255282326
syndrome1909328001073476126176203251326371
and2299328001074190140
atrial245732800107416997117158178
fibrillation,26543280010723449412214216218122342534200107284896146162
which6093420010765114134175224
also85434200107416195144
increase1019342001071968109137181222256301
the1342342001072777122
risk148534200107274780119
of1625342001074873
PCCS.1720342001074597146190207
The565356001074293138
results731356001072670105153173202237
show,996356001073483132198211
that1235356001072877119147
patients1410356001075092120140185234262298
with1736356001076585114163
abnormal1927356001074192141191219294336356
CXR23113560010751102148
have2487356001074990131175
an2690356001074190
increased2808356001071968425370001074169113155190236288
risk74237000107264781121
of891370001074974
90-day994370001074592123176218259
postoperative12823700010750101136167215267313341385413434476521
all-cause183237000107416282111155198248282328
mortality21893700010775125153186229249269299343
(RR=2.49)2561370001072471119174216232277321344
compared425384001074087161211253280323374
to817384001072875
patients910384001074991119138182231258294
with1222384001076484113161
normal1401384001074897124199240260
CXR16793840010751102147
findings.184438400107244492142161209259292310
These2172384001074192136170215
results2405384001072670104151171199235
should2658384001073381130179198248
not425398001074898127
be580398001075096
very704398001074186113157
surprising,890398001073382109161189209243262311362379
as1297398001074176
older1401398001074869119164192
patients1621398001075093121141186236263299
and1949398001074190141
patients2118398001075093121141186235263299
with2446398001076585114164
comorbidities2638398001074088164213242425412001075070120139168188233267
tend720412001072871120171
to918412001072876
have1021412001074990131175
higher1224412001074867117166211239
probability1490412001075078126177219270290310329358401
of1919412001074873
abnormal2020412001074191141190218293335355
CXR24024120010752103149
changes.2579412001074089130179229274309327
Question4254260010762113160197228249300351
remains,806426001072773151194215266301319
whether11554260010767118165196247294323
CXR15074260010753107154
holds16914260010750101123175211
additional1931426001074295147168198219270322365386
information234742600107197096146176254297327348399450
to2827426001072978
patient425440001075092120140185234261
history707440001074867101131178206250
and978440001074089140
clinical113844000107406079128147189231251
findings.140944000107244493144163212262296313
Another17434400010752102151179228273301
question2064440001074997142177207227275325
is,240944000107195370
how2499440001074897163
to2683440001072775
use2778440001074882127
this42545400107287796130
information.57845400107196792140168243285313333382431448
We10494540010774117
now1188454001074998164
know,1375454001073888138203217
that1615454001072776118146
abnormal1784454001074191141190218293335355
CXR21624540010751102148
increases2333454001071968109136180221256301335
risk269145400107274780119
of2833454001074873
postoperative4254680010750100134164211262308335377405425467511
mortality,9544680010774123151183225245264293336349
but1321468001075099128
only1467468001074897117158
handful1643468001074990139189214264283
of1945468001074873
CXR20364680010751103148
are2203468001074068111
actually2333468001074182113162203223242283
used2635468001074781126177
to2831468001072775
change425482001074089131180230275
preoperative721482001075078122172223268296338366386428472
management.12154820010773115164206256301375421470497515
Despite5654960010758104138188208237280
the863496001072877122
fact1003496001072466108139
that1160496001072877118146
abnormal1324496001074191141190218293334354
CXR16964960010751103148
predicts1862496001075078121172192233264299
increased2180496001071867108135179220254299350
risk254849600107264680118
of2685496001074772
postoperative27754960010750100425510001073362109159204231273300320361404
mortality,8475100010773121149180221241260288331343
we12075100010765108
suggest1333510001073380130179223257287
that1637510001072876117144
a17995100010740
CRP1857510001075196142
cut-off2017510001073987116140191215243
value2277510001074182102149193
of2488510001074772
>612577510001075397135
mg/l27295100010773123156176
should425524001073483133182202253
trigger70752400107285676126177223250
preoperative986524001075078122173224270298341370390432477
CXR14915240010752104150
testing.1669524001072872107137157207257275
Due19725240010759109154
to2154524001072876
the2259524001072877123
very2410524001074186114158
low2597524001071968135
CRP2760524001075298145
levels425538001071964106150170203
we6555380010765110
observed792538001074899133178206251295346
in1165538001071967
the1260538001072777122
entire1409538001074493120140167211
group1647538001074977124174224
of1898538001074873
patients1998538001075092120140185234262297
that2322538001072877119147
underwent2496538001074897147192220288333382410
a4255520010741
non-elective490552001074998147176223244288331362381423467
NCS,9825520010757110154170
this117755200107277796130
cut-off1331552001074089118143194219248
value1603552001074183103151196
could1824552001074087136156206
potentially2055552001074999128171220248267309328348389
avoid2468552001074182130150200
a26925520010741
vast2758552001074083117147
number425566001074897171221267295
of738566001074873
unnecessary830566001074796145190232276310345387415458
CXR13075660010751103149
procedures.1474566001075078126168211262310338381416434
Only19265660010761110130171
431/23622116566001074486125153198243287330
(18.25%)2465566001072464104122168213278301
patients278456600107509242558000107284791139166201
had644580001074788138
CRP799580001075196142
levels958580001071963104147167200
above1176580001074090139179223
611416580001074482
mg/l;15155800010772122155176190
thus,1723580001072776123156173
this191358000107287695128
CRP2059580001075095141
cut-off2218580001074087116140191215243
value2478580001074182102149193
might2689580001077392141189216
prevent425594001075078121163207256284
81.75%73459400107448597141183248
of1007594001074873
unnecessary1105594001074897146191233276311345388415459
CXR15895940010751103148
tests.1762594001072872106136172190
Indeed,1977594001071968118163208259276
nearly2278594001074893134161182223
half2526594001074890109134
of2685594001074873
the2783594001072877122
patients425608001074991119138182231258293
(1169/236273660800107246499138181211255300343386
[49.49%])1140608001072366108121165207275297321
had1479608001074889138
CRP1635608001075196142
levels1795608001071963104148168201
even2014608001074384127176
lower2208608001071967132176203
than2429608001072776117165
102612608001074484
mg/l,27136080010773123156177192
which4256220010764113132172221
suggested663622001073481130180224258287330380
that1061622001072775116144
a12226220010741
CXR12816220010750101146
was14456220010764106139
highly1602622001074867116164183223
redundant.1843622001072770120167215265306354381398
As2259622001075287
a23646220010740
conclusion2422622001074086135176195243276294343391
to2831622001072874
this42563600107287796130
discrepancy,574636001074969102144171215266308357399442454
we10486360010765109
think117663600107287797146184
that1380636001072877118146
preoperative1546636001074977121171222268295338366385427472
CXR20376360010751103148
(if220563600107244368
available)2292636001074182124144163205255276321343
should2654636001073483132181201251
be425650001075097
used551650001074883129181
to761650001072876
predict866650001075179124176196238270
the1164650001072979125
need1318650001074894141193
for1540650001072473102
better1670650001075197127159203231
postoperative19306500010750101137167216268314342386414435477522
monitoring24816500010775125176196225274302323373424
(keeping425664001072463107153203223272323
in771664001071968
mind862664001077493142192
that1078664001072777118146
actual1248664001074082113162204223
additional1495664001074191141161190210258308350369
value1888664001074183103151196
to2107664001072876
patient2206664001075092120140185234262
history2491664001074868101131179207251
and2765664001074190140
clinical42567800107406079128147189231251
finding69767800107244593144163212262
is981678001071952
not1055678001074897125
known),1202678001073889138204253276290
but1514678001074999128
should1663678001073482132181201251
not1935678001074998126
be2083678001074995
performed2200678001074995122150199227302347398
in2619678001071968
order2709678001074775124169197
to425692001072878
potentially5326920010751102132177227256277319340361403
change964692001074192135185237284
preoperative1277692001075180125177229277305349378399442488
management,17946920010776119169212264311387434485514532
unless2355692001074999120167202238
there2622692001072980126155200
is2851692001072054
another304762001074189138166215260287
indication335362001071867117136177219247267315365
such373662001073381122171
as392562001074175
breathlessness,401862001075077121162189238258303337371419464499533549
pathological458662001074991119168217238286337356397439459
auscultation,506362001074189123164213232261303331350399448464
low304776001071968134
blood320276001075071120170221
oxygen344476001074887131180225274
saturation374076001073376104153180223251270319369
or413076001074876
CRP422876001075197143
>61439376001075398137
mg/l.4547760010774124158179196
We3187900010774116
identified332190001071969114163190210235255300350
no369090001074897
cut-off380590001074089118143194219247
value407090001074183103151196
for42849000107237299
low440290001071968133
heart455490001074893133161192
rate,47659000107266896140155
as493890001074175
there503190001072877122149193
was5242900010765107141
not540290001074897125
enough3047104001074493142191241290
patients3357104001075092120140185234262297
with3674104001076585114163
low3857104001071968134
enough4011104001074392142191241290
heart4321104001074893134162193
rate453410400107276997141
to4695104001072775
make47901040010773115154198
a50081040010741
difference506810400107496994122166194238287328372
in5459104001071968
the3047118001072877122
preoperative3196118001074977121171222268295338366385427472
management36941180010774116165206256301376421470498
-42191180010726
no4272118001074898
patient4396118001075093121140185234262
had4684118001074990141
any4851118001074190129
severe5007118001073479120165192236
kind5269118001073860108159
of5454118001074873
bradycardia.3047132001074976118168208248289316364383424440
Moreover,35051320010769118145188237277321347360
the3882132001072876120
empirical40201320010743117166186212232272314333
data4371132001074889116158
display4546132001074968101150170211250
very4813132001074084111154
low4984132001071967132
probability5134132001074976123173215265284303322350393
of3047146001074872
bradycardia3137146001075077119169210250292318367386427
in3582146001071967
patients3667146001074992119139183231259294
before3979146001074995119167195238
non-elective4235146001074897146174221241285327357377418462
preoperative4715146001074977120170220265292334362382423467
management.5200146001077311416320425429830471600010774119168196213
Rare3281160001074588115159
cases3461160001074082117162196
of3678160001074873
preoperative3772160001075078122171222268296338366386428472
bradycardia4265160001075078120170212252294322371390432
must47181600010773122156186
be4925160001074995
dealt5041160001074994135155184
with5246160001076585114163
on5430160001074898
the3047174001072877122
individual3191174001071867117137179199249298339359
basis.3572174001074992126145179196
This3187188001074191110144
study3348188001073463111161201
and3567188001074189139
its372418800107184782
results3824188001072669103150170198233
have4075188001074889129173
no4265188001074897
interest438018800107186694136163207241270
in4668188001071867
diminishing4752188001074968141161209228261309328376425
the5195188001072876121
value5334188001074082101149193
of3047202001074771
clinical313620200107405977125144184226245
evaluation3399202001074383125144191232259279326375
prior379220200107497695143170
to3980202001072774
non-cardiac4071202001074896145173216257284332351391432
surgery,4520202001073380107155199226269281
in4818202001071966
fact4902202001072365106136
the5056202001072776120
opposite.5193202001074898147197230249277319335
We30472160010774116
believe3182216001074995115134179220264
that3465216001072776118146
HR36292160010757103
and3750216001074190140
CRP3908216001075297144
should4070216001073482132180200250
be4339216001074995
used4452216001074882127178
as4648216001074175
cut-off4741216001074089118143194219247
values5006216001074183103151196231
for5255216001072472100
triggering5373216001072855751253047230001074994121141190241
additional3309230001074192142162190210259309350370
preoperative3701230001075078121171222268296338366386428472
testing4195230001072871106136155204254
in4471230001071968
those4561230001072877126160206
cases,4789230001074082116161196213
where50242300010765114159187231
clinical527723000107405979128147188231250
examination3047244001074485128203223272314343363412462
is3538244001071953
normal3619244001074999127203245266
or3913244001074877
inconclusive,4018244001071969111159209251271320354373416460476
thus4523244001072877126161
avoiding4712244001074183131152202222272322
unnecessary5063244001074898147193235279314349392420464
tests3047258001072871106136172
in3247258001071968
otherwise3343258001074877126171199268288322367
healthy3738258001074894135155184233273
patients.4039258001075092120140185234262298316
Clinical438325800107517190139159200243263
evaluation4674258001074485128148196238266286335385
still508725800107346483103123
remains5238258001072670145187207256290
a30472720010742
cornerstone3118272001074190119171217246282313362413460
of3607272001074975
any3712272001074292133
preoperative3874272001075180125177230277305349378399442488
management43912720010776119170213264311388434485514
and4934272001074293144
all510827200107426283
patients5220272001075195124145191242270307
with3047286001076585114163
positive32382860010750100135154183202244288
clinical355428600107416080129148189232251
findings383328600107244594144163212263296
(such4157286001072457105146195
as4380286001074176
breathlessness,4484286001074977121162190239259304339373422467501536552
pathological5064286001075093121170219240289340359401443463
auscultation,3047300001074189123165213233262304332352401450467
low3536300001071968134
blood3693300001074970119169220
oxygen3935300001074887131180225274
saturation)4232300001073376104153180223251271320369391
should4646300001073382131181200250
have4919300001074890130175
CXR51163000010751103149
before5287300001075096120169197240
non-cardiac3047314001074898147176220262289338358399440
surgery.3509314001073481109158203230274287
The3187328001074292136
main33413280010773114133182
limitations3541328001071837111130159200228247296345378
of3937328001074772
our4027328001074796123
study4168328001073362111160201
were43873280010764108135178
its458332800107194883
single-center4684328001073352100150169213243286329377404447474
focus5176328001072471113161194
and5388328001074189139
retrospective304734200107277099127175209259305347378398440484
design.3555342001074994129148198247264
The3843342001074192137
results4004342001072770105153173202237
may42653420010774116155
not4444342001074898126
be4594342001074995
generalizable4713342001074994143188215258278297335378428449494
to5231342001072775
other5330342001074876125170197
hospitals.3047356001074898132182202231273293327344
On34143560010761110
the3547356001072877122
other3692356001074876125170198
hand,3912356001074990139190206
the4141356001072877122
large428635600107196087136181
number4490356001074897171222267295
of4808356001074772
enrolled4903356001074493120168189208253304
patients5230356001074992120140184233261297
in3047370001071968
our3140370001074897124
study3289370001073464113163204
and3519370001074089140
the3684370001072877122
enrollment3831370001074493120168189208282328377404
of4261370001074772
consecutive4359370001074087137171216258307336355397442
patients4826370001074992120140184233261297
within5148370001076585114163183232
the5405370001072877122
given3047384001074969111156205
time3281384001072747122168
period3477384001075096124144194245
suggested3750384001073482133184229264294338389
that4167384001072878120148
the4343384001072878123
results4495384001072671106154174203239
are4762384001074169113
statistically4903384001073464107135155189219239281323343363404
solid.5336384001073483104123174191
Moreover,30473980010770119147191241282326354366
the3435398001072877122
simple3579398001073453127177198243
design3844398001074893128147197246
of4112398001074873
our4206398001074897125
study4352398001073464113163204
provided4578398001075078126167187237282333
the4933398001072877122
potential5077398001074999128171220248268309329
for5427398001072472100
easy3047412001074485119161
reproduction3229412001072771121149197248296338369389438487
on3738412001074897
a38574120010741
larger391941200107196188137182209
scale.4150412001073375117137182198
Conclusion30474370013856118182232266330382415477541
We31874540010774117
concluded3331454001074088139181202251302348400
that,3757454001072878121149167
based3951454001075093128174226
on4203454001074899
our4328454001074898126
findings,448045400107244695146167217268302320
both48264540010750101130180
ECG5033454001074294149
and5208454001074191142
CXR53774540010751103150
are3047468001074170116
of3194468001074875
a32994680010742
very3372468001074187116162
limited3564468001072040117138168214267
value3861468001074286107157204
in4096468001071970
the4196468001072980127
routine4353468001072777128159180231278
preoperative4661468001075180126178230278307352381402446492
management5184468001077411816921226431130474820010774120170198
of3270482001074874
hospitalized3368482001074899134185206236279300320358403455
patients3847482001075094122143189239267304
undergoing4175482001074898149195223273323344394445
a46454820010740
non-elective4710482001074898149179227248293337369389432477
NCS.52124820010757111155173
We54104820010774117
recommend3047496001072771114163239314360410461
using3532496001074883103153204
the3760496001072878124
HR39084960010756103
and4035496001074191142
CRP4201496001075298146
cut-off4371496001074090120146198224253
values4648496001074184105154200235
we49074960010765110
identified5042496001071869115165194214240262307359
for5425496001072473102
triggering304751000107285677128179225254275324376
ECG3450510001074295150
and3627510001074191142
CXR37975100010751104150
testing,3975510001072872108138159209260277
as4280510001074176
an4384510001074090
addition4502510001074192143164194214264314
to4844510001072876
positive49485100010750101136156186207249294
clinical527051000107406181131151193236257
findings.304752400107244595147167217269303322
These3399524001074294140176222
cut-off3651524001074090120147199225254
values3935524001074185105155201237
should4202524001073383134184205256
be4488524001075097
more46155240010774124153198
effective484352400107447099145188220241284329
than5202524001072878121171
the5403524001072879125
previously3047538001075181127171194245297333355398
identified3476538001072072120171201223250272320373
age3881538001074295142
cut-offs,4054538001074293124151205232263301319
which44055380010766119140184235
have4671538001075094137184
lower4886538001072071140187217
specificity5134538001073487136180202228251295316347393
and,3047552001074191142159
overall,3228552001074890135164207228248265
lower3515552001071969136181209
accuracy.3746552001074184124174202245288332346
The4114552001074293139
ECG4275552001074295150
should4447552001073483133183204255
be4724552001075097
limited4843552001071939114135164209261
to5126552001072876
patients5224552001075093122143188238267304
with3047566001076585115165
HR32325660010756103
>1003355566001075390131178
bpm35535660010749101176
during3749566001074998126147196247
clinical401656600107406080129150191234255
examination4291566001074384127202222271314342363412462
(to4773566001072452100
bare4893566001074992120165
in5078566001071868
mind5166566001077393142193
that5379566001072878120148
relative304758000107277192135164184227272
risk334858000107274882122
of3499580001074874
mortality36025800010773124152185228249269299343
increases3975580001071868110139183225260306342
above4346580001074192143185230
1004605580001074486133
bpm,47675800010750102178195
but49915800010750100130
the5150580001072878124
risk530358000107264882121
of5454580001074773
PCCS3047594001074598148193
increases3269594001071969111139184226261307343
only3641594001074898119161
with3831594001076586116166
HR40265940010757104
above4159594001074192143185230
1244418594001074484125
bpm),45735940010749101177200216
or4818594001074876
to4924594001072776
patients5029594001075093122143188238267303
with5362594001076586116166
previously3047608001075078123165186236285320340382
known3449608001073889139205256
chronic3725608001074089117166216236278
coronary4023608001074088117166216258286331
syndrome4374608001073376127178206254330376
and4770608001074090141
atrial493160800107417098119161181
fibrillation.513260800107244596125146166186229257278327377395
CXR30476220010752105152
should3230622001073484135186207259
be3519622001075098
limited3647622001072040116137168213265
to3943622001072877
patients4051622001075094123145191242271308
with4389622001076688118169
CRP45886220010752100148
levels4766622001072066109155176211
>6150086220010754100141
mg/l51696220010774126161184
and5383622001074292144
patients3047636001075196126148195247277315
with3393636001076789120172
positive35966360010751104141162193215259306
clinical393363600107416384136157201246267
findings423263600107244798151173224277313
(breathlessness,4577636001072478108154198228280301349386422474521558595614
positive52226360010751104140161193214259305
auscultation,3047650001074089123165214234263306334354403453470
low3536650001071969134
blood3690650001074970119170221
oxygen3930650001074887131180226275
saturation).4224650001073477105154182224253273322372395409
If4653650001071944
performed,4716650001074995123151200228303349400417
CXR51526500010751103149
could5320650001074088137157208
be3047664001075096
used3172664001074883129181
to3382664001072876
predict3487664001075079123175196238270
the3786664001072878124
need3939664001074894141193
for4161664001072373101
better4291664001075097126159203231
postoperative45516640010750101136167216268314343386415435478523
monitoring51036640010774124175195225273302323373424
(keeping3047678001072464109155206227277327
in3395678001071868
mind3483678001077394143194
that3697678001072878120149
actual3866678001074183115165207228
additional4114678001074091142163192213263313355376
value4510678001074084104153199
to4729678001072876
patient4825678001075093122142188237266
history5111678001074868103133181210255
and5386678001074190141
clinical304769200107406181131151193236257
finding332769200107244695146167217268
is3618692001071953
not3695692001074898127
known).3846692001073889139206257280295
DECLARATIONS:48572200975395144183236281334371393450506548564
Declaration107372100985597134156197227268297318364410
of150572100984672
originality:15997210098457596143164210252273294323366386
The200872200953782122
manuscript2153722009566102145188218254278296340365
is254172200951747
original26117220095436785129146189225242
and287772200953679124
has302472200954379110
not315772200954386111
been329172200954585125168
published348372200954487132150166196239278323
or383072200954267
submitted392072200953072117183200225253291336
elsewhere.42797220095395786126184228267291330343
Conflict464772100984792139165188209246276
of494572100984672
interest50397210098216796137167209243273
and533472100984187135
financial4857330098264895136183219241282303
disclosures:80573300984667102138160206240286315357391411
None.123273400955195138178191
Funding/Support:144073300984185132179200247294321363409456504551580611630
None.208773400955194138178191