The utility of dobutamine echocardiography in preoperative evaluation for elective aortic surgery
| Autor: | Jeffrey S. Gosin, Daniel M. Shindler, Alan M. Graham, Randy Shafritz, Manish Doshi, Rocco G. Ciocca |
|---|---|
| Rok vydání: | 1997 |
| Předmět: |
Adult
Male Risk medicine.medical_specialty Heart Diseases Dobutamine stress echocardiography medicine.medical_treatment Aortic Diseases Coronary artery disease Predictive Value of Tests Dobutamine Internal medicine Preoperative Care medicine Humans Aged Aged 80 and over Chemotherapy business.industry Vascular disease Incidence (epidemiology) Significant difference General Medicine Adrenergic beta-Agonists Middle Aged Aortic surgery medicine.disease Echocardiography Elective Surgical Procedures Cardiology Female Surgery business medicine.drug |
| Zdroj: | The American Journal of Surgery. 174:121-125 |
| ISSN: | 0002-9610 |
| DOI: | 10.1016/s0002-9610(97)00068-8 |
| Popis: | Background: Preoperative cardiac evaluations have been advocated prior to major vascular procedures to reduce the incidence of postoperative cardiac complications. This study was undertaken to evaluate the efficacy and predictive value of routine dobutamine echocardiography (DE) in the screening of patients undergoing elective aortic surgery. Methods: Dobutamine echocardiography was performed preoperatively on all patients having elective aortic procedures by our university surgical group from June 1995 to August 1996. The cardiac morbidity and mortality from this group were compared with that of a similar group undergoing elective aortic procedures from June 1993 to May 1995 with no dobutamine echocardiography (NDE). Results: Although there was no statistically significant difference in either overall mortality (4.4% in NDE vs. 2.3% in DE) or cardiac mortality (2.9% in NDE vs. 0% in DE) between the two groups, cardiac events occurred only in those patients with previous coronary artery disease. In addition, dobutamine echocardiography had a negative predictive value of 97% conclusions : Although routine screening is not necessary, selective screening of patients using dobutamine stress echocardiography is justified because of its high negative predictive value. |
| Databáze: | OpenAIRE |
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