About 10 percent of the U.S. population undergoes noncardiacsurgery each year. Although the risk of a perioperative myocardialinfarction with major surgery is only 1 to 2 percent in patientsover the age of 40 years,1,2 the risk is higher in those whoare older or have cardiovascular disease1,2,3. For example,in patients with well-controlled angina who undergo major vascularsurgery, the risk of a perioperative myocardial infarction is3 to 10 percent, and the risk of death from cardiac causes is1 to 5 percent1,4,5,6,7.
Several noninvasive cardiac tests, such as preoperative exercisetesting,8,9 thallium scintigraphy,4,10,11. . . [Full Text of this Article]
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