Perioperative medicine & outcomes

Is chronic inflammation a risk factor for perioperative myocardial injury or heart failure in pancreatic surgery patients?

BJA OpenPublished Prospective cohort study

Authors' conclusion

Preoperative inflammation was not associated with PMI or postoperative biomarkers of heart failure after pancreatic surgery.

Study context

Population
Pancreatic surgery patients
Participants
88 patients
Exposure
High vs normal preoperative IL-6
  • High IL-6n = 24
Outcome
Perioperative myocardial injury (PMI): absolute hs-cTnT increase ≥14 pg ml-1

Main finding

As reported in the abstract

PMI (absolute hs-cTnT increase ≥14 pg ml-1)
  • High IL-6 vs Normal IL-6: P = 0.86
  • Two (8.3%) and eight (12.5%) patients with high and normal concentrations, respectively

Observational data: associations, not effects.

Secondary outcomes

Preoperative hs-cTnT · before surgery

P = 0.01

Preoperative GDF-15 · before surgery

P = 0.021

Preoperative NT-proBNP · before surgery

P = 0.012

Postoperative biomarkers (high-sensitive cardiac troponin-T (hs-cTnT), GDF-15, NT-proBNP) · 4, 12, 24, and 48 h after surgery

All biomarkers increased after surgery
all P<0.05
Increase similar in high vs normal preoperative IL-6

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Is chronic inflammation a risk factor for perioperative myocardial injury or heart failure in pancreatic surgery patients? BJA Open. Published 19 May 2025. doi:10.1016/j.bjao.2025.100417

Composed by AI from the published abstract and checked against it. How Briefs are made →

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