Journal article

Computed tomographic coronary angiography in risk stratification prior to non-cardiac surgery: a systematic review and meta-analysis

Anoop N Koshy, Francis Jonathan Ha, Paul J Gow, Hui-Chen Han, FM Amirul-Islam, Han S Lim, Andrew W Teh, Omar Farouque

HEART | BMJ PUBLISHING GROUP | Published : 2019

Abstract

OBJECTIVES: Utility of CT coronary angiography (CTA) and coronary artery calcium (CAC) scoring in risk stratification prior to non-cardiac surgery is unclear. Although current guidelines recommend stress testing in intermediate-high risk individuals, over one-third of perioperative major adverse cardiovascular events (MACE) occur in patients with a negative study. This systematic review and meta-analysis evaluates the value of CTA and CAC score in preoperative risk prognostication prior to non-cardiac surgery. METHODS: MEDLINE, PubMed and EMBASE databases were searched for articles published up to June 2018. Summary ORs for degree of coronary artery disease (CAD) and perioperative MACE were ..

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