International Journal of Physiology
  • Year: 2015
  • Volume: 3
  • Issue: 1

A Study of Electrocardiograph (ECG) Measurement before Elective non-Cardiac Surgery in a Tertiary Hospital

1Associate Professor, Departments of Physiology, Viswabharathi Medical College and General Hospital, Kurnool, Andhra Pradesh, India

2Associate Professor, Department of Obstetrics & Gynecology, Viswabharathi Medical College and General Hospital, Kurnool, Andhra Pradesh, India

*Corresponding author: Vijaya Lakshmi Akkupalli, MBBS, MD, Associate Professor, Department of Physiology, Viswabharathi Medical College and General Hospital, R.T. Nager, Near K. Nagalapuram, Kurnool -518463, Andhra Pradesh, India, Mobile: +91-9000007335. Email: magadhira@gmail.com

Online published on 21 February, 2015.

Abstract

Cardiovascular complications are a major cause of preoperative morbidity and mortality in patients undergoing no cardiac surgery. So this study was planned to find out the occurrence of ECG abnormalities in preoperative patients posted for elective non cardiac surgery. A retrospective evaluation of ECG involving 125 patients posted for elective non-cardiac surgery at Viswabharathi Medical College General Hospital, Kurnool was done. ECG abnormalities found in 45 cases (36.20%) out of 125 preoperative patients. Sinus tachycardia and sinus bradycardia were the common ECG abnormalities Hypertensive (65.8%) and diabetic (73.6%) patients had higher incidence of abnormal preoperative ECG when compared to their normal counterparts (p- value <0.001). In conclusion, there must be an ECG prior to any elective surgery because preoperative testing offers a stage for detection of asymptomatic significant cardiac abnormalities.

Keywords

ECG, pre-operative patients, non-cardiac surgery, sinus tachycardia