Cardiac complications after elective major vascular surgery.

Abstract:

:Cardiac complications are the major cause of perioperative and late mortality and morbidity in patients undergoing elective major vascular surgery. This review focuses on the pathophysiology of perioperative complications, risk assessment and risk reduction strategies, all related to cardiovascular disease. Patients without cardiac risk factors are considered to be at low risk and no additional evaluation for coronary artery disease is recommended; beta-adrenergic blockers may reduce perioperative cardiac events; patients with one or more risk factors represent an intermediate to high-risk population. beta-Adrenergic blockers should be prescribed to all patients and coronary revascularization should be reserved for patients who have a clearly defined need for revascularization independent of the need for vascular surgery.

authors

Kertai MD,Klein J,van Urk H,Bax JJ,Poldermans D

doi

10.1034/j.1399-6576.2003.00149.x

subject

Has Abstract

pub_date

2003-07-01 00:00:00

pages

643-54

issue

6

eissn

0001-5172

issn

1399-6576

pii

149

journal_volume

47

pub_type

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