What does this research mean for the field?

Selective preoperative evaluation of coronary artery disease based on clinical and electrocardiographic findings is justified in patients undergoing abdominal aortic aneurysm repair, as those without evidence of CAD have very low perioperative cardiac mortality, while those with severe CAD benefit from prior or coincident cardiac correction. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

October 1, 1990Annals of SurgeryOpen Access

Selective Evaluation and Management of Coronary Artery Disease in Patients Undergoing Repair of Abdominal Aortic Aneurysms

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Why the study?

Does selective evaluation and management of CAD based on clinical and ECG evidence affect 30-day operative mortality in patients undergoing AAA repair?

Population

500 consecutive patients undergoing urgent or elective operations for infrarenal nonruptured abdominal…

Comparison

Selective evaluation and management of coronary… vs Comparison between groups based on preoperative…

Design

Cohort

Follow-up

30-day

Authors

MGMichael A. GoldenUniversity of Minnesota AWAnthony D. WhittemoreVascular / Pulmonary Vascular MDMagruder C. DonaldsonMetroWest Medical Center

Discussion

Member takes

Implication

Selective CAD evaluation was associated with lower AAA repair mortality; leaves open benefit of routine screening in higher-risk patients.

Structured PICO

Does selective evaluation and management of CAD based on clinical and ECG evidence affect 30-day operative mortality in patients undergoing AAA repair?

Population

500 consecutive patients undergoing urgent or elective operations for infrarenal nonruptured abdominal aortic aneurysm (AAA).

Intervention

Selective evaluation and management of coronary artery disease (CAD) based on preoperative cardiac status, with invasive treatment of CAD performed before or coincident with AAA repair only in patients with unstable CAD (Group III).

Comparator

Comparison between groups based on preoperative cardiac status (Group I: no clinical/ECG evidence of CAD vs Group II: stable CAD).

Outcome

30-day operative mortality rate (cardiac-related and total).hard clinical

Selective evaluation of CAD based on clinical grounds is justified in AAA patients, as those without clinical or ECG evidence of CAD rarely die of perioperative myocardial infarction.

Cite This Study

Golden et al. (1990) studied this question.

synapsesocial.com/papers/6a1908c9a6ebdba58ad3193d https://doi.org/10.1097/00000658-199010000-00004

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Implication

Selective CAD evaluation was associated with lower AAA repair mortality; leaves open benefit of routine screening in higher-risk patients.

Selective Evaluation and Management of Coronary Artery Disease in Patients Undergoing Repair of Abdominal Aortic Aneurysms

Discussion

Member takes

Implication

Structured PICO

Cite This Study

Selective Evaluation and Management of Coronary Artery Disease in Patients Undergoing Repair of Abdominal Aortic Aneurysms

Discussion

Member takes

Implication

Structured PICO

Cite This Study

Also Consider

Also Consider