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Cardiac Risk in the Noncardiac Surgery Patient

  • Conference paper
Yearbook of Intensive Care and Emergency Medicine 1993

Part of the book series: Yearbook of Intensive Care and Emergency Medicine 1993 ((YEARBOOK,volume 1993))

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Abstract

The assessment and prediction of cardiac risk for a noncardiac surgical Intervention remains a controversial area and one of active research. A number of features of coronary artery disease illustrate some of the reasons for the interest in this area to surgeons.

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References

  1. National Center for Health Statistics: Vital statistics of the United States (1980) Vol H-Mortality DHHS Publication No (PHS) 85-1101 Hyattsville MD: NCHS, US Public Health Service 1985

    Google Scholar 

  2. National Center for Health Statistics: Health, United States (1988) DHHS Publication No. (PHS) 89-1232 Public Health Service, Washington, US Government Printing Office March 1989

    Google Scholar 

  3. Hertzer NR (1984) Clinical experience with preoperative coronary angiography J Vase Surg 2: 510–514

    Google Scholar 

  4. Mangano DT (1990) Perioperative cardiac morbidity. Anesthesiology 72: 153–184

    Article  PubMed  CAS  Google Scholar 

  5. Tarhan S, Moffitt E, Taylor WF, et al. (1972) Myocardial infaretion after general anesthesia. JAMA 220: 1451–1454

    Article  PubMed  CAS  Google Scholar 

  6. Steen PA, Tinker JH, Tarhan S (1978) Myocardial reinfaretion after anesthesia and surgery. JAMA 239: 2566–2570

    Article  PubMed  CAS  Google Scholar 

  7. Topkins MJ, Artusio JF (1964) Myocardial infaretion and surgery: A Five year study. Anesth Anaig 43: 716–720

    CAS  Google Scholar 

  8. Diamond GA, Forrester JS (1987) Analysis of probability as an aid in the clinical diagnosis of coronary artery disease. N Engl J Med 300: 179–185

    Google Scholar 

  9. Hertzer NR, Beven EG, Young Jr, et al. (1984) Coronary artery disease in peripheral vascular patients: A Classification of 1000 coronary angiograms and results of surgical management. Ann Surg 199: 223–233

    Article  PubMed  CAS  Google Scholar 

  10. Boucher CA, Brewster DC, Darling RC, et al. (1985) Determination of cardiac risk by dipyridamole thallium imaging before peripheral vascular surgery. N Engl J Med 213: 389–394

    Article  Google Scholar 

  11. Foster ED, Davis KB, Carpenter JA, et al. (1986) Risk of noncardiac Operation in patients with defined coronary disease: The coronary artery surgery study registry experience. Ann Surg 41: 42–50

    CAS  Google Scholar 

  12. Multicenter Post-Infarction Research Goup (1983) Risk stratification and survival after myocardial infaretion. N Engl J Med 309: 331–336

    Article  Google Scholar 

  13. Pasternack PF, Imparato AM, Bear G et al. (1984) The value or radionuclear angiography as a predictor of perioperative myocardial infaretion in patients undergoing abdominal aortic aneurysm resection. J Vase Surg 1: 320–325

    CAS  Google Scholar 

  14. Mangano DR, London MJ, Tubau JF, et al. (1991) Dipyridamole thallium-201 scintigraphy as a preoperative Screening test, a reexamination of its predictive potential. Circulation 84: 493–502

    PubMed  CAS  Google Scholar 

  15. Taylor LM, Yeager RA, Moneta GL (1992) The incidence of perioperative myocardial infaretion in general vascular surgery. J Vase Surg 15: 52–61

    Article  Google Scholar 

  16. Berlauk JF, Abrams JH, Gilmour IJ, et al. (1991) Preoperative optimization of cardiovascular hemodynamics improves outcome in peripheral vascular surgery: A prospective, randomized clinical trial. Ann Surg 214: 289–299

    Article  PubMed  CAS  Google Scholar 

  17. McGowen SW, Smith GFN (1980) Anesthesia for transurethral prostatectomy: A comparison of spinal intradural analgesia with two methods of general anesthesia. Anesthesia 35: 847–853

    Article  Google Scholar 

  18. Goldman AL, Caldera DL, Southwick FS, Nussbaum SR, et al. (1978) Cardiac risk factors and complications in noncardiac surgery. Medicine 57: 357–370

    Article  PubMed  CAS  Google Scholar 

  19. Yeager MP, Glass DD, Neff RK, et al. (1987) Epidural anesthesia and analgesia in high risk surgical patients. Anesthesiology 66: 729–736

    Article  PubMed  CAS  Google Scholar 

  20. Mangano DT, Browner WS, Hollenberg M, et al. (1990) Association of perioperative myocardial ischemia with cardiac morbidity and mortality in men undergoing noncardiac surgery. N Engl J Med 323: 1782–1788

    Article  Google Scholar 

  21. Whittemore AD, Clowes AWE, Hechtman HB et al. (1980) Aortic aneurysm repair: Reduced operative mortality associated with maintenance of optimal cardiac Performance. Ann Surg 192: 414–419

    Article  PubMed  CAS  Google Scholar 

  22. Rao TK, Jacobs KH, El-Etr AA (1983) Reinfaretion following anesthesia in patients with myocardial infaretion. Anesthesiology 59: 499–505

    Article  PubMed  CAS  Google Scholar 

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© 1993 Springer-Verlag Berlin Heidelberg

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Cerra, F.B. (1993). Cardiac Risk in the Noncardiac Surgery Patient. In: Vincent, JL. (eds) Yearbook of Intensive Care and Emergency Medicine 1993. Yearbook of Intensive Care and Emergency Medicine 1993, vol 1993. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-84904-6_27

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  • DOI: https://doi.org/10.1007/978-3-642-84904-6_27

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-56463-8

  • Online ISBN: 978-3-642-84904-6

  • eBook Packages: Springer Book Archive

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