Journal article

Prognosis of patients with vascular disease after clinical evaluation and dobutamine stress echocardiography

RS Ballal, S Kapadia, MA Secknus, D Rubin, K Arheart, TH Marwick

AMERICAN HEART JOURNAL | MOSBY-YEAR BOOK INC | Published : 1999

Abstract

BACKGROUND: Coronary disease is an important cause of long-term morbidity in patients needing major vascular surgery. We sought to assess the efficacy of preoperative clinical evaluation and the detection of inducible ischemia for prediction of immediate and long-term cardiac outcomes of patients undergoing vascular surgery. METHODS: In 233 patients undergoing vascular procedures, we assessed risk clinically on the basis of Eagle's criteria. Dobutamine echocardiography was performed with a standard protocol and results were classified as showing ischemia, scar, or a normal response. Patients were observed perioperatively, and late follow-up (28 +/- 13 months) was completed in all surgical su..

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