Peiqi, W., Kai, Z., Haijun, W., Lujia, Y., Yanhong, L., Jiangbei, C., Hao, L., Weidong, M., & Jingsheng, L. (2026). [Impact of preoperative cardiology consultation on major adverse cardiac events in non-cardiac surgery patients: a retrospective cohort study].. Nan fang yi ke da xue xue bao = Journal of Southern Medical University. https://doi.org/10.12122/j.issn.1673-4254.2026.06.10
Peiqi W, Kai Z, Haijun W, Lujia Y, Yanhong L, Jiangbei C, et al. [Impact of preoperative cardiology consultation on major adverse cardiac events in non-cardiac surgery patients: a retrospective cohort study].. Nan fang yi ke da xue xue bao = Journal of Southern Medical University. 2026; doi: 10.12122/j.issn.1673-4254.2026.06.10
Peiqi W, Kai Z, Haijun W, et al. [Impact of preoperative cardiology consultation on major adverse cardiac events in non-cardiac surgery patients: a retrospective cohort study].[J]. Nan fang yi ke da xue xue bao = Journal of Southern Medical University. 2026. DOI: 10.12122/j.issn.1673-4254.2026.06.10.
@article{peiqi2026,
author = {Wang Peiqi and Zhang Kai and Wang Haijun and Yang Lujia and Liu Yanhong and Cao Jiangbei and Li Hao and Mi Weidong and Lou Jingsheng},
title = {[Impact of preoperative cardiology consultation on major adverse cardiac events in non-cardiac surgery patients: a retrospective cohort study].},
journal = {Nan fang yi ke da xue xue bao = Journal of Southern Medical University},
year = {2026},
doi = {10.12122/j.issn.1673-4254.2026.06.10},
note = {PMID: 42343839},
}
TY - JOUR AU - Wang Peiqi AU - Zhang Kai AU - Wang Haijun AU - Yang Lujia AU - Liu Yanhong AU - Cao Jiangbei AU - Li Hao AU - Mi Weidong AU - Lou Jingsheng TI - [Impact of preoperative cardiology consultation on major adverse cardiac events in non-cardiac surgery patients: a retrospective cohort study]. T2 - Nan fang yi ke da xue xue bao = Journal of Southern Medical University PY - 2026 DO - 10.12122/j.issn.1673-4254.2026.06.10 AN - PMID:42343839 ER -
OBJECTIVES: To investigate whether preoperative cardiology consultation reduces the incidence of major adverse cardiac events (MACE) in patients undergoing non-cardiac surgeries. METHODS: This cohort study was conducted among 7019 elderly patients (above 65 years) with abnormal ECGs undergoing non-cardiac surgeries. The main outcome was MACE occurrence within 30 days post-surgery. The patients were divided into model development and validation cohorts in a 7:3 ratio, and each cohort was categorized into two subgroups with high-risk and low-risk abnormal ECG. MACE prediction models were constructed for the subgroups, and their predictive power was evaluated using ROC curves; the value of preoperative cardiology consultation for reducing MACE was assessed using decision curve analysis. RESULTS: Among the 4914 patients in the model development cohort, 61 of the 3010 patients with low-risk abnormal ECGs experienced MACE (2.0%), as compared with 59 out of 1904 patients (3.1%) in the high-risk group. The predictive model for MACE for the low-risk group contained 6 risk factors (AUC=0.772), and that for the high-risk group contained 5 risk factors (AUC=0.769). In patients with low-risk abnormal ECG, undergoing cardiovascular specialist consultation did not show significant benefits (the survival rate for predicting MACE was 0.02). However, in patients with high-risk abnormal ECG and those with low-risk abnormal ECG but having specific risk factors, undergoing cardiovascular specialist consultation showed significant benefits with survival rates for predicting MACE of 0.3 and 0.229, respectively. CONCLUSIONS: For patients with high-risk abnormal ECG and those with low-risk abnormal ECG and specific risk factors, preoperative cardiology consultation may help to reduce the occurrence of MACE following non-cardiac surgeries, but for patients with simple low-risk abnormal ECG cases without risk factors, preoperative cardiology consultation can be omitted, which does not affect the incidence of MACE but can improve medical efficiency.