Document Detail

Silent myocardial ischemia monitoring predicts late as well as perioperative cardiac events in patients undergoing vascular surgery.
MedLine Citation:
PMID:  1495141     Owner:  NLM     Status:  MEDLINE    
In a previous study we have shown that perioperative monitoring for silent myocardial ischemia can noninvasively identify those patients undergoing peripheral vascular surgery who are at significantly increased risk for perioperative myocardial infarction. In the present study a group of 385 patients undergoing peripheral vascular surgery was studied long-term as well as short-term to determine whether perioperative monitoring for silent ischemia can identify those patients who are at significantly increased risk of late cardiac death or late cardiac complications as well as those patients at increased risk of perioperative myocardial infarction. All patients were monitored before, during, and after operation and were divided into two groups on the basis of results of monitoring: patients whose total duration of silent ischemia as a percentage of the total duration of perioperative monitoring was 1% or greater (group I, n = 120) and those for whom this value was less than 1% (group II, n = 265). Among patients in group I 13.3% (16 of 120) suffered a perioperative myocardial infarction in contrast to only 1.1% (3 of 265) patients in group II (p less than 0.001). Multivariate logistic regression analysis of preoperative and perioperative characteristics showed that the presence of a total perioperative percent time ischemic 1% or greater and age were the only significant predictors of perioperative myocardial infarction.(ABSTRACT TRUNCATED AT 250 WORDS)
P F Pasternack; E A Grossi; F G Baumann; T S Riles; P J Lamparello; G Giangola; A Y Yu; R Mintzer; A M Imparato
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of vascular surgery     Volume:  16     ISSN:  0741-5214     ISO Abbreviation:  J. Vasc. Surg.     Publication Date:  1992 Aug 
Date Detail:
Created Date:  1992-09-08     Completed Date:  1992-09-08     Revised Date:  2012-10-03    
Medline Journal Info:
Nlm Unique ID:  8407742     Medline TA:  J Vasc Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  171-9; discussion 179-80     Citation Subset:  IM    
Department of Medicine, New York University Medical Center 10016.
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MeSH Terms
Chi-Square Distribution
Coronary Disease / complications,  diagnosis*,  mortality
Follow-Up Studies
Middle Aged
Monitoring, Intraoperative
Monitoring, Physiologic
Peripheral Vascular Diseases / complications,  surgery*
Postoperative Care
Postoperative Complications / diagnosis,  etiology,  mortality
Predictive Value of Tests
Preoperative Care
Regression Analysis
Survival Analysis

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

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