A COMPARISON OF CLINICAL INDEX AND EJECTION FRACTIONS IN PREDICTING CARDIAC COMPLICATIONS FOLLOWING INFRARENAL AORTIC RECONSTRUCTION

被引：11

作者：

GALLAND, RB

MICHAELS, JA

TOMS, A

WHYMAN, A

LUXTON, K

BELL, JA

VERGHESE, C

机构：

[1] Royal Berkshire Hospital, Reading, RG1 5AN, London Road

来源：

EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY | 1995年 / 9卷 / 02期

关键词：

INFRARENAL AORTIC RECONSTRUCTION; CARDIAC COMPLICATIONS; EJECTION FRACTIONS; CLINICAL INDEX;

D O I：

10.1016/S1078-5884(05)80096-6

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Objective: To compare the Detsky clinical cardiac risk index with ejection fraction measurements in predicting postoperative cardiac events. Design: Prospective study. Setting: District General Hospital. Materials: 48 patients undergoing infrarenal aortic reconstruction. Chief outcome measures: Ejection fractions were measured both by echocardiography and a technetium 99 MUGA scan. Main results: Three patients developed four major cardiac events (LVF three, fatal myocardial infarction one). Fourteen patients experienced 15 minor cardiac events (arrhythmia 11, ST segment depression Jour). The clinical index predicted postoperative cardiac problems (p=0.0001). There was no correlation between ejection fraction measurement and postoperative cardiac events nor between ejection fraction measurements and the clinical index. Combining the index with ejection fraction measurement provided no additional information over the index alone. Conclusions: Calculation of a clinical index before aortic reconstruction is a simple and reliable way of selecting patients who are at risk of developing postoperative cardiac events.

引用

页码：233 / 238

页数：6

共 19 条

[1]

Gouny, Bertrand, Coriat, Keiffer, Periperative cardiac complications of surgical repair of infrarenal aortic aneurysms, Annals of Vascular Surgery, 3, pp. 324-328, (1989)

[2]

Hertzer, Young, Kramer, Et al., Routine coronary angiography prior to elective aortic reconstruction. Results of selective myocardial revascularisation in patients with peripheral vascular disease, Arch Surg, 114, pp. 1336-1344, (1979)

[3]

Laarman, Fioretti, Wittens, Collenteur, Assessment of cardiac risk before vascular surgery by dipyridamole thallium testing, Eur J Vasc Surg, 4, pp. 335-340, (1990)

[4]

Chadwick, Galland, Preoperative clinical evaluation as a predictor of cardiac complications after infrarenal aortic reconstruction, Br J Surg, 78, pp. 875-877, (1991)

[5]

Burow, Strauss, Singleton, Et al., Analysis of left ventricular function from multiple gated acquisition cardiac blood pool imaging. Comparison to contrast angiography, Circulation, 56, pp. 1024-1028, (1977)

[6]

Feigenbaum, Popp, Wolfe, Troy, Pombo, Haine, Dodge, Ultrasound measurements of the left ventricle: A correlative study with angiography, Arch Intern Med, 129, pp. 461-467, (1972)

[7]

Hertzer, Beven, Young, Et al., Coronary artery disease in peripheral vascular patients. A classification of 1000 coronary angiograms and results of surgical management, Ann Surg, 199, pp. 223-233, (1984)

[8]

Detsky, Abrams, Forbath, Scott, Hilliard, Cardiac assessment for patients undergoing noncardiac surgery. A multifactorial clinical risk index, Arch Intern Med, 146, pp. 2131-2134, (1986)

[9]

Ouyang, Gerstenblith, Furman, Goleuke, Gottlieb, Frequency and significance of early postoperative silent myocardial ischaemia in patients having peripheral vascular surgery, Am J Cardiol, 64, pp. 1113-1116, (1989)

[10]

Louridas, Clinton, Olver, The value of the ejection fraction as a predictor of postoperative cardiac mortality in patients undergoing peripheral vascular surgery, S Afr J Surg, 30, pp. 12-14, (1992)

← 1 2 →