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Table 3 Definition of major adverse cardiac events (MACE), Jammer et al. [24]

From: Positive end-expiratory pressure (PEEP) level to prevent expiratory flow limitation during cardiac surgery: study protocol for a randomized clinical trial (EFLcore study)

Complication

Definition

Non-fatal cardiac arrest

An absence of cardiac rhythm or presence of chaotic rhythm requiring any component of basic or advanced cardiac life support

Acute myocardial infarction

Increase and gradual decrease in troponin level or a faster increase and decrease of creatine kinase isoenzyme as markers of myocardial necrosis in the company of at least one of the following: ischemic symptoms, abnormal Q waves on the ECG, ST-segment elevation or depression; coronary artery intervention (e.g., coronary angioplasty) or a typical decrease in an elevated troponin level detected at its peak after surgery in a patient without a documented alternative explanation for the troponin elevation

Congestive heart failure

New in-hospital signs or symptoms of dyspnea or fatigue, orthopnea, paroxysmal nocturnal dyspnea, increased jugular venous pressure, pulmonary râles on physical examination, cardiomegaly, or pulmonary vascular engorgement

New cardiac arrhythmia

ECG evidence of atrial flutter, atrial fibrillation, or second- or third-degree atrioventricular conduction block

Angina

Dull, diffuse, substernal chest discomfort precipitated by exertion or emotion and relieved by rest or glyceryl trinitrate

  1. ECG electrocardiogram