Key result
Dobutamine stress echocardiography is a useful tool for preoperative cardiac risk evaluation, providing prognostic information for perioperative and long-term cardiac events.
Why the study?
Does dobutamine stress echocardiography improve preoperative cardiac risk assessment in patients undergoing major vascular surgery?
Does dobutamine stress echocardiography improve preoperative cardiac risk assessment in patients undergoing major vascular surgery?
Dobutamine stress echocardiography is a useful tool for preoperative cardiac risk evaluation in patients undergoing major vascular surgery, providing prognostic information beyond common clinical risk factors.
May inform preoperative risk stratification in vascular surgery; leaves open need for randomized validation before practice change.
BACKGROUND: Cardiac complications are a major cause for perioperative mortality and morbidity. Also, the presence and severity of underlying coronary artery disease (CAD) determine long-term prognosis after successful surgery. AIM: This overview evaluates the additional value of dobutamine stress echocardiography (DSE) to common clinical cardiac risk factors and other noninvasive cardiac imaging modalities for perioperative and late cardiac prognosis. RESULTS: DSE provides theattending physician with preoperative prognostic information for perioperative and long-term prognosis for cardiac events. It also enables the selection of high risk patients for evaluation of cardiac risk reduction therapies. CONCLUSIONS: DSE is a useful tool for preoperative cardiac risk evaluation in addition to common clinical cardiac risk factors.
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Poldermans et al. (2000) conducted a review in Preoperative cardiac risk before major vascular surgery. Dobutamine stress echocardiography (DSE) vs. Common clinical cardiac risk factors and other noninvasive cardiac imaging modalities was evaluated. Dobutamine stress echocardiography is a useful tool for preoperative cardiac risk evaluation, providing prognostic information for perioperative and long-term cardiac events.
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