{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T12:07:47Z","timestamp":1777378067002,"version":"3.51.4"},"reference-count":20,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2017,9,1]],"date-time":"2017-09-01T00:00:00Z","timestamp":1504224000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Anaesth Intensive Care"],"published-print":{"date-parts":[[2017,9]]},"abstract":"<jats:p>The perioperative risks and factors associated with adverse cardiac outcomes in patients with dilated cardiomyopathy undergoing non-cardiac surgery are unknown. Interrogation of the Nelson Hospital transthoracic echocardiogram database identified 127 patients with dilated cardiomyopathy who satisfied the study criteria and underwent non-cardiac surgery between June 1999 and July 2013. Demographic and clinical data along with postoperative death within 30 days or a major adverse cardiac event were retrieved and analysed. The mean age was 75.9 years. Seventy-one percent of the patients had severe impairment of left ventricular function and 35% had a severely dilated left ventricle. A major adverse cardiac event occurred in 18.1% of patients and 5.5% of patients died within 30 days of surgery. Increased surgical risk and absence of cerebrovascular disease were associated with adverse outcome (P &lt;0.001, P &lt;0.05, respectively). Forty-three and a half percent (43.5%) of patients undergoing high-risk surgery had an adverse outcome compared to 36.1% and 5.9% for moderate and low-risk surgery, respectively. A major adverse cardiac event was observed in 26.7% of patients with cardiovascular disease compared to 9.8% of patients without cardiovascular disease. We were unable to exclude an influence of other potential risk factors due to the retrospective observational nature of the study. These findings highlight a potential increase in complications with moderate or high surgical risk, whilst are reassuring in demonstrating the relative safety of low-risk surgery in this group of high-risk patients.<\/jats:p>","DOI":"10.1177\/0310057x1704500513","type":"journal-article","created":{"date-parts":[[2019,1,23]],"date-time":"2019-01-23T00:51:42Z","timestamp":1548204702000},"page":"619-623","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["A Retrospective Observational Study of Patients with Dilated Cardiomyopathy Undergoing Non-Cardiac Surgery"],"prefix":"10.1177","volume":"45","author":[{"given":"K. A.","family":"Cook","sequence":"first","affiliation":[{"name":"Department of Anaesthesia and Pain, Nelson Hospital, Nelson, New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P. A.","family":"MacIntyre","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia, Nelson Hospital, Nelson, New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J. R.","family":"McAlpine","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia, Wellington Hospital, Wellington, New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2017,9,1]]},"reference":[{"key":"bibr1-0310057X1704500513","doi-asserted-by":"publisher","DOI":"10.4103\/0259-1162.128925"},{"issue":"12","key":"bibr2-0310057X1704500513","first-page":"WMC002567","volume":"2","author":"Bansal T.","year":"2011","journal-title":"WebmedCentralAnaesthesia"},{"issue":"1","key":"bibr3-0310057X1704500513","first-page":"13","volume":"11","author":"Mishra S.","year":"2005","journal-title":"The Internet Journal of Anesthesiology"},{"key":"bibr4-0310057X1704500513","doi-asserted-by":"publisher","DOI":"10.1007\/BF03016203"},{"key":"bibr5-0310057X1704500513","doi-asserted-by":"publisher","DOI":"10.1007\/BF03010915"},{"key":"bibr6-0310057X1704500513","first-page":"1360","volume":"53","author":"Chang K.H.","year":"2004","journal-title":"Masui"},{"key":"bibr7-0310057X1704500513","doi-asserted-by":"publisher","DOI":"10.5001\/omj.2010.20"},{"key":"bibr8-0310057X1704500513","first-page":"1","volume":"1","author":"Balaji A.","year":"2016","journal-title":"ARC Journal of Anesthesiology"},{"key":"bibr9-0310057X1704500513","doi-asserted-by":"publisher","DOI":"10.1016\/j.euje.2005.12.014"},{"key":"bibr10-0310057X1704500513","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.100.10.1043"},{"key":"bibr11-0310057X1704500513","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-015-3400-2"},{"key":"bibr12-0310057X1704500513","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2044.2010.06478.x"},{"key":"bibr13-0310057X1704500513","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(08)60601-7"},{"key":"bibr14-0310057X1704500513","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCINTERVENTIONS.111.963728"},{"key":"bibr15-0310057X1704500513","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM197710202971601"},{"key":"bibr16-0310057X1704500513","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2013.278787"},{"key":"bibr17-0310057X1704500513","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2004.06.059"},{"key":"bibr18-0310057X1704500513","doi-asserted-by":"publisher","DOI":"10.1097\/ALN.0b013e31816725ef"},{"key":"bibr19-0310057X1704500513","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.110.011130"},{"key":"bibr20-0310057X1704500513","doi-asserted-by":"publisher","DOI":"10.1111\/j.1751-7133.2009.00130.x"}],"container-title":["Anaesthesia and Intensive Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0310057X1704500513","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0310057X1704500513","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T09:09:57Z","timestamp":1777367397000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0310057X1704500513"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,9]]},"references-count":20,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2017,9]]}},"alternative-id":["10.1177\/0310057X1704500513"],"URL":"https:\/\/doi.org\/10.1177\/0310057x1704500513","relation":{},"ISSN":["0310-057X","1448-0271"],"issn-type":[{"value":"0310-057X","type":"print"},{"value":"1448-0271","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,9]]}}}