Cardiac Risk Stratification for High-Risk Vascular Surgery

Circulation ◽  
1997 ◽  
Vol 95 (11) ◽  
pp. 2473-2475 ◽  
Author(s):  
Claus Bartels ◽  
J. F. Matthias Bechtel ◽  
Volker Hossmann ◽  
Svante Horsch
Keyword(s):  
High Risk ◽  
Risk Stratification ◽  
Vascular Surgery ◽  
Cardiac Risk

Cardiac risk stratification of patients undergoing vascular surgery

1999 ◽  
Vol 25 (11-12) ◽  
pp. 461-466
Author(s):  
Elisabetta Rossi ◽  
Franco Citterio
Keyword(s):  
Risk Stratification ◽  
Vascular Surgery ◽  
Cardiac Risk

scholarly journals Improved cardiac risk stratification in major vascular surgery with dobutamine-atropine stress echocardiography

1995 ◽  
Vol 26 (3) ◽  
pp. 648-653 ◽  
Author(s):  
Don Poldermans ◽  
Mariarosaria Arnese ◽  
Paolo M. Fioretti ◽  
Alessandro Salustri ◽  
Eric Boersma ◽  
...  
Keyword(s):  
Risk Stratification ◽  
Vascular Surgery ◽  
Stress Echocardiography ◽  
Cardiac Risk ◽  
Major Vascular Surgery

Abstract 15582: Patterns of Statin Initiation in Patients Undergoing Intermediate to High Risk Non-Cardiac Surgery

Circulation ◽  
2014 ◽  
Vol 130 (suppl_2) ◽  
Author(s):  
Elisabetta Patorno ◽  
Shirley Wang ◽  
Sebastian Schneeweiss ◽  
Jun Liu ◽  
Brian Bateman
Keyword(s):  
Cardiac Surgery ◽  
High Risk ◽  
Vascular Surgery ◽  
Elective Surgery ◽  
Risk Index ◽  
Cardiac Risk ◽  
Cardiac Events ◽  
Initiation Rate ◽  
Cardiac Risk Index ◽  
Recent Estimate

Background: Starting from early to mid 2000s a growing body of literature has been produced on the potential role of statins in reducing perioperative cardiac events in patients undergoing non-cardiac surgery. However, evidence remains inconsistent and little is known regarding the use of perioperative statins in clinical practice. Objectives: To examine pattern of statin initiation among patients undergoing non-cardiac elective surgery in the US. Methods: Using data from a large US healthcare insurer, we identified patients ≥18 years who underwent moderate- to high-risk non-cardiac elective surgery and initiated statins within 30-days before surgery. We assessed trends of statin initiation over time and predictors of initiation. To ensure statin initiation was precipitated by non-cardiac surgery vs. alternative indications, we also assessed the effect of temporal proximity to surgery on initiation in a matched analysis. Results: Of 460,154 patients undergoing surgery between 2003-2012, 5,628 (1.2%) initiated a statin before surgery. Initiation rate increased from 0.8% in 2003 to 1.5% in 2012 (p = .0004). The increase was more pronounced among patients with revised cardiac risk index (RCRI) score ≥2 and patients undergoing vascular surgery, with initiation rates equal to 7.2% and 14.9% respectively by the end of 2012. Proximity to surgery was predictive of statin initiation (p < .0001). Significant predictors of initiation were older age, male sex, revised cardiac risk index (RCRI) score ≥1, vascular or orthopedic surgery. At the most recent estimate, patients undergoing vascular surgery and with a RCRI score ≥2 had initiation rates equal to 19.9%. Conclusions: The rate of statin initiation progressively increased from 2003 to 2012, particularly among patients with higher RCRI score and undergoing major vascular surgery. Research is needed to further define the risks and benefits of initiation of statins prior to surgery.

Critical Appraisal of Cardiac Risk Stratification Before Elective Vascular Surgery

2003 ◽  
Vol 37 (6) ◽  
pp. 387-397 ◽  
Author(s):  
Martin R. Back ◽  
Dale C. Schmacht ◽  
Andrew N. Bowser ◽  
Norma Stordahl ◽  
David Cuthbertson ◽  
...  
Keyword(s):  
Risk Stratification ◽  
Vascular Surgery ◽  
Critical Appraisal ◽  
Cardiac Risk

Comparison of dipyridamole stress echocardiography and perfusion scintigraphy for cardiac risk stratification in vascular surgery patients

1998 ◽  
Vol 82 (12) ◽  
pp. 1468-1474 ◽  
Author(s):  
Agnes Pasquet ◽  
Anne-Marie D’Hondt ◽  
Robert Verhelst ◽  
Jean Louis Vanoverschelde ◽  
Jacques Melin ◽  
...  
Keyword(s):  
Risk Stratification ◽  
Vascular Surgery ◽  
Stress Echocardiography ◽  
Cardiac Risk ◽  
Perfusion Scintigraphy ◽  
Dipyridamole Stress Echocardiography ◽  
Dipyridamole Stress
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