Poldermans D, Bax JJ, Thomson IR, Boersma E, van Der Meer P, Fioretti PM, Elhendy A, van De Ven LM, Roelandt JR, van Urk H. Role of dobutamine stress echocardiography for preoperative cardiac risk assessment before major vascular surgery: a diagnostic tool comes of age.
Echocardiography 2000;
17:79-91. [PMID:
10978964 DOI:
10.1111/j.1540-8175.2000.tb00998.x]
[Citation(s) in RCA: 15] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022] Open
Abstract
BACKGROUND
Cardiac complications are a major cause for perioperative mortality and morbidity. Also, the presence and severity of underlying coronary artery disease (CAD) determine long-term prognosis after successful surgery.
AIM
This overview evaluates the additional value of dobutamine stress echocardiography (DSE) to common clinical cardiac risk factors and other noninvasive cardiac imaging modalities for perioperative and late cardiac prognosis.
RESULTS
DSE provides theattending physician with preoperative prognostic information for perioperative and long-term prognosis for cardiac events. It also enables the selection of high risk patients for evaluation of cardiac risk reduction therapies.
CONCLUSIONS
DSE is a useful tool for preoperative cardiac risk evaluation in addition to common clinical cardiac risk factors.
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