December 6, 2001New England Journal of Medicine
Lowering Cardiac Risk in Noncardiac Surgery
Why the study?
What can be done to minimize the risk of perioperative cardiac complications in a patient with coronary artery disease undergoing noncardiac surgery?
Population
65-year-old man requiring resection of an abdominal aortic aneurysm, with a remote history of myocardial…
Design
Case_report
Authors
Discussion
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Implication
May warrant closer perioperative monitoring in CAD patients undergoing vascular surgery; leaves open optimal strategies for prospective validation.
Structured PICO
What can be done to minimize the risk of perioperative cardiac complications in a patient with coronary artery disease undergoing noncardiac surgery?
P
Population
65-year-old man requiring resection of an abdominal aortic aneurysm, with a remote history of myocardial infarction, rare episodes of angina, and >70% stenosis of the left circumflex artery.
O
Outcome
Perioperative cardiac complications
This clinical vignette highlights the need for strategies to minimize perioperative cardiac risk in patients with known coronary artery disease undergoing major vascular surgery.
Cite This Study
Fleisher et al. (2001) studied this question.