Key result
Prophylactic coronary revascularisation guided by routine angiography may improve perioperative cardiovascular outcomes in high-risk patients undergoing high-risk non-cardiac surgery.
Why the study?
Does prophylactic coronary revascularisation improve perioperative cardiovascular outcomes in patients undergoing high-risk non-cardiac surgery?
Does prophylactic coronary revascularisation improve perioperative cardiovascular outcomes in patients undergoing high-risk non-cardiac surgery?
This narrative review highlights emerging data that challenges current guidelines by suggesting prophylactic coronary revascularisation may improve outcomes in high-risk non-cardiac surgery.
Coronary revascularisation has been a topic of debate for over three decades in patients undergoing high-risk non-cardiac surgery. The paradigm shifted from routine coronary angiography toward stress test guided decision-making based on larger randomised trials. However, this paradigm is challenged by relatively newer data where routine coronary angiography and revascularisation is shown to improve perioperative cardiovascular outcomes. We review major studies performed over a long period including more contemporary data with regard to the 2014 American College of Cardiology/American Heart Association as well as 2014 European Society of Cardiology guideline on perioperative cardiovascular evaluation of patients undergoing non-cardiac surgery.
No takes yet. Share an insight, caveat, or question.
Rahat et al. (2016) conducted a review in Coronary artery disease in patients undergoing non-cardiac surgery. Prophylactic coronary revascularisation vs. No prophylactic revascularisation or stress-test guided approach was evaluated. Prophylactic coronary revascularisation guided by routine angiography may improve perioperative cardiovascular outcomes in high-risk patients undergoing high-risk non-cardiac surgery.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: