Document Detail


Vascular surgery critical care: perioperative cardiac optimization to improve survival.
MedLine Citation:
PMID:  16917424     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To review the literature on perioperative cardiac management of patients who are scheduled to undergo vascular surgery. DATA SOURCE: MEDLINE- and PubMed-based review of literature published from 1965 to 2005. CONCLUSIONS: Perioperative cardiac events (myocardial infarction, heart failure) remain the leading cause of morbidity and mortality in vascular surgery patients. Existing guidelines allow physicians to cost-effectively streamline preoperative cardiac risk assessment and stratification. Perioperative optimization of volume status and cardiac function and the routine use of perioperative beta-blockers can significantly improve outcomes after major vascular surgery. Perioperative addition of statins to beta-blockers in high-risk patients undergoing vascular surgery merits further evaluation. Preoperative coronary revascularization should be restricted to patients with unstable cardiac symptoms.
Authors:
Ramesh Venkataraman
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Review    
Journal Detail:
Title:  Critical care medicine     Volume:  34     ISSN:  0090-3493     ISO Abbreviation:  Crit. Care Med.     Publication Date:  2006 Sep 
Date Detail:
Created Date:  2006-08-18     Completed Date:  2006-09-28     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0355501     Medline TA:  Crit Care Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  S200-7     Citation Subset:  AIM; IM    
Affiliation:
Clinical Research, Investigation, and Systems Modeling of Acute Illness Laboratory, Department of Critical Care Medicine, University of Pittsburgh, Pittsburgh, PA, USA.
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MeSH Terms
Descriptor/Qualifier:
Adrenergic beta-Antagonists / therapeutic use
Critical Care / methods*
Heart Valves / surgery
Humans
Hydroxymethylglutaryl-CoA Reductase Inhibitors / therapeutic use
Monitoring, Physiologic
Myocardial Ischemia / etiology,  physiopathology,  prevention & control
Myocardial Revascularization
Perioperative Care*
Preoperative Care
Risk Assessment
Vascular Surgical Procedures*
Chemical
Reg. No./Substance:
0/Adrenergic beta-Antagonists; 0/Hydroxymethylglutaryl-CoA Reductase Inhibitors

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


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