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Previous Volume 352:1492-1495 April 7, 2005 Number 14 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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To the Editor: McFalls et al. (Dec. 30 issue)¹ report on a randomized trial demonstrating that prophylactic coronary revascularization before vascular surgery is not beneficial. However, methodologic concerns limit its generalization to high-risk patients, as the authors propose. The guidelines of the American College of Cardiology and the American Heart Association² advocate preoperative coronary angiography before elective vascular surgery for selected patients with known or suspected stable coronary artery disease only after noninvasive testing showing moderate-to-severe inducible ischemia. Patients in the study by McFalls et al. were not selected according to these guidelines. After 91.3 percent of 5859 patients screened . . . [Full Text of this Article]

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