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European Heart Journal Advance Access originally published online on February 22, 2007
European Heart Journal 2007 28(5):519-521; doi:10.1093/eurheartj/ehl523
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© The European Society of Cardiology 2007. All rights reserved. For Permissions, please e-mail: journals.permissions@oxfordjournals.org

Indications of prophylactic coronary revascularization in patients undergoing major vascular surgery: the saga continues

Sanne E. Hoeks1, Jeroen J. Bax2 and Don Poldermans1,*

1 Department of Cardiology, Thoraxcenter Room H973, Erasmus MC, Dr Molewaterplein 40, 3015 GD Rotterdam, The Netherlands
2 Department of Cardiology, LUMC, Leiden, The Netherlands

* Corresponding author: Tel: +31 10 4634613; fax: +31 10 4634957. E-mail address: d.poldermans@erasmusmc.nl

This editorial refers to ‘A clinical survival score predicts the likelihood to benefit from preoperative thallium scanning and coronary revascularization before major vascular surgery’ {dagger} by G. Landesberg et al., on page 533

The first 10% of the full text of this article appears below.

ACC/AHA Guidelines

When considering a patient for major vascular surgery, a careful pre-operative clinical risk evaluation and subsequent risk-reduction strategies are essential to improve post-operative outcome. The ACC/AHA TaskForce published therefore Practice Guidelines for Perioperative Cardiovascular Evaluation for Non-cardiac Surgery in 1996 and an update in 2002.1 Furthermore, due to increasing evidence of the beneficial effect of beta-blocker use in the perioperative period, the guidelines section on perioperative beta-blocker therapy is recently updated.2 The core of the ACC/AHA guidelines is an algorithm, which summarizes the stepwise evaluation of clinical parameters used to assess the need for further cardiac testing. According to the algorithm, after assessing the urgency of the surgery and the cardiac status of . . . [Full Text of this Article]

Risk stratification

Prophylactic coronary revascularization

Guidelines in practice


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Related articles in EHJ:

A clinical survival score predicts the likelihood to benefit from preoperative thallium scanning and coronary revascularization before major vascular surgery
Giora Landesberg, Yacov Berlatzky, Moshe Bocher, Ron Alcalai, Haim Anner, Tatyana Ganon-Rozental, Myron H. Luria, Inna Akopnik, Charles Weissman, and Morris Mosseri
EHJ 2007 28: 533-539. [Abstract] [Full Text]