Document Detail

Preoperative cardiac evaluation of the patient with vascular disease.
MedLine Citation:
PMID:  8156479     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To review the literature and evaluate the investigation of cardiac risk factors, by tests and intraoperative predictors, that will identify patients at high risk for vascular surgery. DATA SOURCES: An English-language literature review of Index Medicus articles from 1961 to 1992. STUDY SELECTION: Published articles that addressed preoperative risk factors, diagnostic tests and intraoperative predictors were selected by multiauthor consensus. DATA EXTRACTION: Independent extraction by multiple authors was utilized to abstract and assess the quality of data from selected references, with consensus determining inclusion or exclusion. DATA SYNTHESIS: From evaluation of published data, a number of factors were considered to put a patient scheduled to undergo vascular surgery at higher risk: symptomatic coronary artery disease; clinical evidence of coronary artery disease, congestive heart failure, aortic stenosis and recent myocardial infarction; laboratory findings of significant disease with cardiomegaly or significant dysrhythmias; and no symptoms but two or more risk factors. CONCLUSIONS: The authors propose an algorithm for the investigation of patients and stratification of risk to be considered in weighing the dangers versus the benefits of vascular surgery.
D E Maziak; A C Ralph-Edwards; M Deitel; D L Wooster
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Canadian journal of surgery. Journal canadien de chirurgie     Volume:  37     ISSN:  0008-428X     ISO Abbreviation:  Can J Surg     Publication Date:  1994 Apr 
Date Detail:
Created Date:  1994-05-19     Completed Date:  1994-05-19     Revised Date:  2007-08-16    
Medline Journal Info:
Nlm Unique ID:  0372715     Medline TA:  Can J Surg     Country:  CANADA    
Other Details:
Languages:  eng     Pagination:  95-103     Citation Subset:  IM    
Department of Surgery, University of Toronto, St. Joseph's Health Centre, Ont.
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MeSH Terms
Age Factors
Heart Function Tests / methods
Intraoperative Care
Preoperative Care*
Risk Factors
Vascular Diseases / diagnosis*,  epidemiology,  surgery

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

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