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Editorial
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Volume 330:707-709 March 10, 1994 Number 10
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Assessment of Perioperative Cardiac Risk

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About 10 percent of the U.S. population undergoes noncardiac surgery each year. Although the risk of a perioperative myocardial infarction with major surgery is only 1 to 2 percent in patients over the age of 40 years,1,2 the risk is higher in those who are older or have cardiovascular disease1,2,3. For example, in patients with well-controlled angina who undergo major vascular surgery, the risk of a perioperative myocardial infarction is 3 to 10 percent, and the risk of death from cardiac causes is 1 to 5 percent1,4,5,6,7.

Several noninvasive cardiac tests, such as preoperative exercise testing,8,9 thallium scintigraphy,4,10,11 . . . [Full Text of this Article]

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