| The utility of dobutamine echocardiography in preoperative evaluation for elective aortic surgery. | |
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MedLine Citation:
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PMID: 9293826 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Preoperative cardiac evaluations have been advocated prior to major vascular procedures to reduce the incidence of postoperative cardiac complications. This study was undertaken to evaluate the efficacy and predictive value of routine dobutamine echocardiography (DE) in the screening of patients undergoing elective aortic surgery. METHODS: Dobutamine echocardiography was performed preoperatively on all patients having elective aortic procedures by our university surgical group from June 1995 to August 1996. The cardiac morbidity and mortality from this group were compared with that of a similar group undergoing elective aortic procedures from June 1993 to May 1995 with no dobutamine echocardiography (NDE). RESULTS: Although there was no statistically significant difference in either overall mortality (4.4% in NDE vs. 2.3% in DE) or cardiac mortality (2.9% in NDE vs. 0% in DE) between the two groups, cardiac events occurred only in those patients with previous coronary artery disease. In addition, dobutamine echocardiography had a negative predictive value of 97% CONCLUSIONS: Although routine screening is not necessary, selective screening of patients using dobutamine stress echocardiography is justified because of its high negative predictive value. |
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Authors:
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R Shafritz; R G Ciocca; J S Gosin; D M Shindler; M Doshi; A M Graham |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: American journal of surgery Volume: 174 ISSN: 0002-9610 ISO Abbreviation: Am. J. Surg. Publication Date: 1997 Aug |
Date Detail:
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Created Date: 1997-10-01 Completed Date: 1997-10-01 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0370473 Medline TA: Am J Surg Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 121-5 Citation Subset: AIM; IM |
Affiliation:
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Department of Surgery, University of Medicine and Dentistry of New Jersey-Robert Wood Johnson Medical School, New Brunswick 08903, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adrenergic beta-Agonists
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diagnostic use Adult Aged Aged, 80 and over Aortic Diseases / complications, mortality, surgery, ultrasonography* Dobutamine / diagnostic use Echocardiography / methods Female Heart Diseases / complications, mortality, ultrasonography* Humans Male Middle Aged Predictive Value of Tests Preoperative Care Risk Surgical Procedures, Elective |
| Chemical | |
Reg. No./Substance:
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0/Adrenergic beta-Agonists; 34368-04-2/Dobutamine |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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