Cardiac complications after elective major vascular surgery |
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Authors: | Kertai M D Klein J van Urk H Bax J J Poldermans D |
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Institution: | Departments of Cardiology,;Anaesthesiology and;Vascular Surgery, Erasmus Medical Center, Rotterdam, the Netherlands |
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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; β-adrenergic blockers may reduce perioperative cardiac events; patients with one or more risk factors represent an intermediate to high-risk population. β-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. |
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Keywords: | B-advenergic antagonists cardiac complications non-invasive tests risk assessment vascular surgery |
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