Document Detail


Non-cardiac surgery in patients with prior myocardial revascularization.
MedLine Citation:
PMID:  6605798     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Patients who had undergone aorto-coronary bypass grafts (ACBG) were assessed for the incidence of cardiac complications in the postoperative period following subsequent non-cardiac surgery. One hundred and twenty-one patients had 13 complications (11 per cent). A significantly higher risk of cardiac complications (27 per cent) was found in patients undergoing non-cardiac procedures in the first month after ACBG. This remained higher (17 per cent) until the sixth month following ACBG. Significant factors which increased the risk of cardiac complications in the postoperative period included preoperative congestive heart failure (33 per cent), cardiac risk index score classification of III or IV (37 per cent), surgery on major vessels, and surgery necessitated because of a complication of the ACBG itself (17 per cent). No correlation was found between cardiac complication rates and recurrent angina, hypertension, the use of beta-blockers or digoxin, or anaesthetic technique. It is suggested that all but emergency surgery should be postponed in the first month following ACBG, and elective surgery be delayed for up to six months.
Authors:
P M Cruchley; J A Kaplan; C C Hug; D Nagle; R Sumpter; D Finucane
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Canadian Anaesthetists' Society journal     Volume:  30     ISSN:  0008-2856     ISO Abbreviation:  Can Anaesth Soc J     Publication Date:  1983 Nov 
Date Detail:
Created Date:  1984-01-27     Completed Date:  1984-01-27     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0371163     Medline TA:  Can Anaesth Soc J     Country:  CANADA    
Other Details:
Languages:  eng     Pagination:  629-34     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Coronary Artery Bypass*
Female
Humans
Intraoperative Complications / epidemiology
Male
Middle Aged
Postoperative Complications / epidemiology
Risk
Surgical Procedures, Operative*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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