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Previous Volume 345:1677-1682 December 6, 2001 Number 23 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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This Journal feature begins with a case vignette highlighting a common clinical problem. Evidence supporting various strategies is then presented, followed by a review of formal guidelines, when they exist. The article ends with the authors' clinical recommendations.

A 65-year-old man requires resection of an abdominal aortic aneurysm. He has a remote history of myocardial infarction and has rare episodes of angina. Recent coronary-artery angiography revealed stenosis of the left circumflex artery of more than 70 percent. What can be done to minimize this patient's risk of perioperative cardiac complications?

The Clinical Problem

The risk of cardiovascular complications is elevated in many patients . . . [Full Text of this Article]

Identification of High-Risk Patients

Therapies and Interventions to Reduce Complications

Strategies and Evidence

Monitoring

Medical Treatment

            Beta-Blockers

            ₂-Adrenergic Agonists

            Other Agents

Coronary Revascularization

            Percutaneous Revascularization

            Coronary-Artery Bypass Grafting

Areas of Uncertainty

Guidelines

Conclusions and Recommendations

Source Information

From the Departments of Anesthesiology and Critical Care Medicine, Medicine (Cardiology), and Health Policy and Management, Johns Hopkins Medical Institutions, Baltimore (L.A.F.); and the Department of Internal Medicine (Cardiology), University of Michigan School of Medicine, Ann Arbor (K.A.E.).

Address reprint requests to Dr. Eagle at the Division of Cardiology, University of Michigan, 1500 E. Medical Center Dr., Ann Arbor, MI 48109-0366, or at keagle@umich.edu.

References

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