Association Between Electrocardiographic Changes and Myocardial Injury or Death After Cardiac Surgery
After cardiac surgery, potential ischemic ECG changes are common and have divergent associations with mortality. ST depression was associated with a higher risk of death, whereas new Q waves and T-wave inversions were associated with a lower risk of death. A new LBBB was associated with a higher risk of death only among patients who underwent CABG. Potential ischemic ECG changes are common after cardiac surgery and lack specificity for the diagnosis of myocardial infarction.
Authors
- Katheryn Brady (ORCID: https://orcid.org/0000-0003-4764-5511)
- Jai Mathur
- Domenico Paparella (ORCID: https://orcid.org/0000-0003-2261-7098)
- Roman Zhizhov (ORCID: https://orcid.org/0000-0002-7204-4294)
- Rajibul Mian (ORCID: https://orcid.org/0000-0002-6377-405X)
- Chew Yin Wang (ORCID: https://orcid.org/0000-0002-9066-3830)
- Salim Yusuf (ORCID: https://orcid.org/0000-0003-4776-5601)
- Emilie P. Belley‐Côté (ORCID: https://orcid.org/0000-0002-5071-076X)
- Alexander Romanov (ORCID: https://orcid.org/0000-0002-6958-6690)
- Tyng Yan Ng (ORCID: https://orcid.org/0000-0002-3150-6923)
- Jessica Vincent (ORCID: https://orcid.org/0000-0002-2356-8876)
- Richard Paul Whitlock (ORCID: https://orcid.org/0000-0002-6863-5884)
- Nicholas L. Mills (ORCID: https://orcid.org/0000-0003-0533-7991)
- Joseph Mills (ORCID: https://orcid.org/0000-0002-7373-3980)
- Denis Losik (ORCID: https://orcid.org/0000-0003-4886-9648)
- Matthew T.V. Chan (ORCID: https://orcid.org/0000-0002-3574-7855)
- Jessica Spence (ORCID: https://orcid.org/0000-0003-1267-9455)
- P.J. Devereaux (ORCID: https://orcid.org/0000-0003-2935-637X)
- Vito Margari (ORCID: https://orcid.org/0000-0002-4318-2620)
- Muhammad Mustafa Alhussein (ORCID: https://orcid.org/0000-0002-8032-8190)
- Gerard Urrútia (ORCID: https://orcid.org/0000-0002-8850-0960)
- Graham S Hillis
- René Allard (ORCID: https://orcid.org/0000-0003-0219-7006)
- Francesco Ivan Amendolagine (ORCID: https://orcid.org/0000-0002-7657-7872)
- Stéphanie Bouvier
- Narendra Jathappa
- William F. McIntyre (ORCID: https://orcid.org/0000-0001-6082-7542)
- Emily Methangkool (ORCID: https://orcid.org/0000-0002-9596-5184)
- Harvey D. White (ORCID: https://orcid.org/0000-0001-7712-6750)
- Silvia Ajello (ORCID: https://orcid.org/0000-0003-2803-5638)
- Xue Lin Chan
- Ludhmila Abrahão Hajjar (ORCID: https://orcid.org/0000-0001-5645-2055)
- Allan S. Jaffe (ORCID: https://orcid.org/0000-0003-1183-3959)
- Daniele De Viti
- В. В. Ломиворотов (ORCID: https://orcid.org/0000-0001-8591-6461)
- Yasser Binbraik
- Stephen Edward Fremes (ORCID: https://orcid.org/0000-0003-1723-3049)
- Adrián Baranchuk (ORCID: https://orcid.org/0000-0002-3042-6569)
- Andre L. Lamy (ORCID: https://orcid.org/0000-0003-2777-7621)
- Carisi A Polanczyk
- Mario Gaudino (ORCID: https://orcid.org/0000-0001-7529-438X)
- Joseph S. Alpert (ORCID: https://orcid.org/0000-0002-9929-9182)
- J. Stephen Billing
- Dmitry Shukevich
- Roberto T. Sant’Anna
Institutions
- University of Foggia (IT)
- Sunnybrook Health Science Centre (CA)
- Mayo Clinic (US)
- University College London Hospitals NHS Foundation Trust (GB)
- University of Arizona (US)
- University of Liverpool (GB)
- Vita-Salute San Raffaele University (IT)
- University of California, Los Angeles (US)
- Chinese University of Hong Kong (HK)
- Queen's University (CA)
- Cornell University (US)
- Hospital Kuala Lumpur (MY)
- Royal Perth Hospital (AU)
- New Cross Hospital (GB)
- Liverpool Heart and Chest Hospital NHS Trust (GB)
- Kettering General Hospital (GB)
- Auckland City Hospital (NZ)
- Hospital de Sant Pau (ES)
- Northampton General Hospital (GB)
- Population Health Research Institute (CA)
- University of Malaya (MY)
- Hospital Moinhos de Vento (BR)
- Liverpool Heart and Chest Hospital (GB)
- Greenlane Clinical Centre (NZ)
- Hospital de Clínicas de Porto Alegre (BR)
- Fundação Universitária de Cardiologia (BR)
- Ospedale Santa Maria (IT)
- Mayo Clinic in Arizona (US)
- Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (BR)
- Mayo Clinic in Florida (US)
- Meshalkin National Medical Research Center (RU)
- Impact (CA)
- Lifeline Hospital (IN)
- Weill Cornell Medicine (US)
- University College London (GB)
- Kemerovo State University (RU)
- Hamilton Health Sciences (CA)
- Penn State Milton S. Hershey Medical Center (US)
- McMaster University (CA)
- University of Edinburgh (GB)
Publication Details
- Journal
- Canadian Journal of Cardiology
- Published
- 2025-09-27
- DOI
- https://doi.org/10.1016/j.cjca.2025.09.035
- Primary Topic
- Cardiac, Anesthesia and Surgical Outcomes
- Type
- article
- Field-Weighted Citation Impact
- 0.00
Funders
- Canadian Institutes of Health Research