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European Heart Journal 2008 29(3):283-284; doi:10.1093/eurheartj/ehm521
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Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2008. For permissions please email: journals.permissions@oxfordjournals.org.

Preoperative cardiac risk assessment in vascular surgery patients: seeing beyond the perioperative period

Olaf Schouten1, Jeroen J. Bax2 and Don Poldermans3,*

1 Department of Vascular Surgery, Erasmus MC, Rotterdam, The Netherlands
2 Department of Cardiology, Leiden University Medical Center, Leiden, The Netherlands
3 Department of Anaesthesiology, Erasmus MC, Rotterdam, The Netherlands

* Corresponding author. Tel: +31 10 4634613; fax: +31 10 436 2995. Email: d.poldermans@erasmusmc.nl

This editorial refers to ‘Predictors and outcomes of a perioperative myocardial infarction following elective vascular surgery in patients with documented coronary artery disease: results of the CARP trial’ by E.O. McFalls et al.,{dagger} on page 394

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The opinions expressed in this article are not necessarily those of the Editors of the European Heart Journal or of the European Society of Cardiology.

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

Patients scheduled for non-cardiac vascular surgery are at significant risk of cardiovascular morbidity and mortality due to underlying symptomatic or asymptomatic coronary artery disease (CAD). As was shown by Hertzer et al. in their landmark study in 1984 using coronary angiography in 1000 patients undergoing non-cardiac vascular surgery, 61% of all patients did have at least one significant lesion.1 In fact, only 8% of all patients had no abnormalities. More recent studies using functional tests for . . . [Full Text of this Article]


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Related articles in EHJ:

Predictors and outcomes of a perioperative myocardial infarction following elective vascular surgery in patients with documented coronary artery disease: results of the CARP trial
Edward O. McFalls, Herbert B. Ward, Thomas E. Moritz, Fred S. Apple, Steve Goldman, Gordon Pierpont, Greg C. Larsen, Brack Hattler, Kendrick Shunk, Fred Littooy, Steve Santilli, Joseph Rapp, Lizy Thottapurathu, William Krupski, Domenic J. Reda, and William G. Henderson
EHJ 2008 29: 394-401. [Abstract] [FREE Full Text]