Open AccessA prospective observational study of preoperative natriuretic peptide testing in adult non-cardiac surgical patients in hospitals in Western Cape Province, South Africa
Author(s) -
Christella S. Alphonsus,
M Jagga,
Michael J. Crowther,
E. Coetzee,
Gareth Davies,
Z Fullerton,
Hendrik Adriaan Van Zyl,
Anthony Reed,
E Cloete,
J Roos,
F Roodt,
Reitze Rodseth,
BM Biccard
Publication year - 2021
Publication title -
samj. south african medical journal/south african medical journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.527
H-Index - 57
eISSN - 2078-5135
pISSN - 0256-9574
DOI - 10.7196/samj.2021.v111i4.15226
Subject(s) - medicine , natriuretic peptide , heart failure , cardiac surgery , diabetes mellitus , disease , risk factor , cardiology , surgery , endocrinology
International guidelines recommend risk stratification to identify high-risk non-cardiac surgical patients. It is also recommended that all patients aged ≥45 years with significant cardiovascular disease should have preoperative natriuretic peptide (NP) testing. Abnormal preoperative B-type NPs have a strong association with postoperative cardiac complications. In South African hospitals, it is not known how many patients with significant cardiovascular disease scheduled for intermediate- to high-risk surgery will have raised NPs.