Preoperative clinical evaluation as a predictor of cardiac complications after infrarenal aortic reconstruction.
This paper analyses cardiac risk factors in 93 consecutive patients undergoing elective infrarenal aortic reconstruction over a 2 year period. During the perioperative or postoperative period, 26 patients sustained a total of 42 cardiac complications. Eight patients had myocardial infarction, 14 left ventricular failure and 15 arrhythmias. There were five cardiac-related deaths. Angina was the only statistically significant risk factor in predicting postoperative cardiac problems. A multivariate analysis identified a high-risk group of patients in whom cardiac complications after operation were common.
Chadwick
L
L
Department of Surgery, Royal Berkshire Hospital, Reading, UK.
Galland
R B
RB
D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D000787:Angina Pectoris / Q000209:etiology; D001014:Aortic Aneurysm / Q000601:surgery; D001018:Aortic Diseases / Q000601:surgery*; D001145:Arrhythmias, Cardiac / Q000209:etiology; D002303:Cardiac Output, Low / Q000209:etiology; D005260:Female; D006331:Heart Diseases / Q000209:etiology*; D006801:Humans; D007383:Intermittent Claudication / Q000601:surgery; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000209:etiology; D011183:Postoperative Complications / Q000209:etiology*; D011237:Predictive Value of Tests; D011446:Prospective Studies; D012307:Risk Factors