Preoperative Assessment of Patients with Known or Suspected Coronary Disease

doi:10.1056/NEJM199512283332607

Volume 333:1750-1756		December 28, 1995		Number 26

Preoperative Assessment of Patients with Known or Suspected Coronary Disease

Dennis T. Mangano, Ph.D., M.D., and Lee Goldman, M.D.

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Cardiovascular disease is the leading cause of death in theUnited States, Canada, Europe, and Japan.¹^,² Of the 27 millionpatients who undergo surgery in the United States each year,approximately 8 million have coronary artery disease or riskfactors for cardiovascular disease; 1 million have perioperativecardiac complications, which result in approximately $20 billionin annual costs for in-hospital and long-term care.³ Over thenext several decades, furthermore, the effects of the agingof the population will exacerbate the problem; more than 37million patients will undergo surgery each year in the UnitedStates, of whom 40 percent will . . . [Full Text of this Article]

Routine Clinical Data and Risk Indexes

Specialized Testing

Electrocardiography

Echocardiography

Radionuclide Ventriculography

Thallium Scintigraphy

Pathophysiologic Limitations of Testing

A Recommended Approach

Source Information

From the McSPI Research Group, San Francisco (D.T.M.); the Departments of Anesthesiology (D.T.M.) and Medicine (L.G.), University of California, San Francisco; and the Veterans Affairs Medical Center, San Francisco (D.T.M.).

Address reprint requests to Dr. Goldman at the Department of Medicine, University of California, San Francisco, 505 Parnassus Ave., San Francisco, CA 94143.

References

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Preoperative Assessment of Patients with Coronary Disease
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Extract | Full Text
N Engl J Med 1996; 334:1064-1065, Apr 18, 1996. Correspondence

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