Gupta Perioperative Risk for Myocardial Infarction or Cardiac Arrest Score is a Long-Term Cardiovascular Risk Predictor After Aortoiliac Revascularization

• Type: Article in International Scientific Journal
• Date: 2024

Authors

Francisco-Brandao, J (Author) Other; Costa-Pereira, T (Author) Other; Pereira-Neves, A (Author) Other; Romana-Dias, L (Author) Other; Marques-Vieira, M (Author) Other; Vidoedo, J (Author) Other; Andrade, JP (Author) Other; Rocha-Neves, J (Author) FMUP

Journal

Title: Annals of Vascular Surgery

Vol. 108

Pages: 17-25

ISSN: 0890-5096

Publisher: Elsevier

Indexing

ISI Web of Knowledge - 0 Citations

Scopus - 0 Citations

Other information

Authenticus ID: P-010-G6R

DOI: 10.1016/j.avsg.2024.02.027

Abstract (EN): Background: Gupta Perioperative Risk for Myocardial Infarction or Cardiac Arrest (MICA) is a validated self-explanatory score applied in cardiac or noncardiac surgeries. This study aims to assess the predictive value of the MICA score for cardiovascular events after aortoiliac revascularization. Methods: This prospective cohort underwent elective aortoiliac revascularization between 2013 and 2021. Patients' demographic, clinical characteristics, and outcomes were registered. The patients were divided into 2 groups according to the MICA score using optimal binning. Survival analysis to test for time-dependent variables and multivariate Cox regression analysis for independent predictors were performed. Results: This study included 130 patients with a median follow-up of 55 months. Preoperative MICA score was >6.5 in 41 patients. MICA >6.5 presented a statistically significant association, with long-term occurrence of acute heart failure (HR = 1.695, 95% CI 1.208-2.379, P = 0.002), major adverse cardiovascular events (HR = 1.222, 95% CI 1.086-1.376, P < 0.001), and allcause mortality (HR = 1.256, 95% CI 1.107-1.425, P < 0.001). Multivariable Cox regression confirmed MICA as a significant independent predictor of long-term major adverse cardiovascular events (aHR = 1.145 95% CI 1.010-1.298, P = 0.034) and all-cause mortality (aHR = 1.172 95% CI 1.026-1.339, P = 0.020). Conclusions: The MICA score is a quick, easy-to-obtain, predictive tool in identifying patients with a higher risk of postaortoiliac revascularization cardiovascular events, such as acute heart failure, major adverse cardiovascular events, and all-cause mortality. Additional research for the validation of the MICA score in the context of aortoiliac revascularization and specific interventions is necessary.

Language: English

Type (Professor's evaluation): Scientific

No. of pages: 9