Silent myocardial ischemia in patients undergoing peripheral vascular surgery: Incidence and association with perioperative cardiac morbidity and mortality

Slides:

Advertisements

Similar presentations

The role of arteriovenous shunts in the pathogenesis of varicose veins Howard C. Baron, M.D., Sebastiano Cassaro, M.D. Journal of Vascular Surgery Volume.

Advertisements

Silent myocardial ischemia monitoring predicts late as well as perioperative cardiac events in patients undergoing vascular surgery Peter F. Pasternack,

The effect of inguinal lymphatic manipulation on regional lymph flow patterns Jeffrey R. Rubin, MD, Lisa B. Eberlin, MD Journal of Vascular Surgery Volume.

Heparin-coated catheters and heparin-induced thrombocytopenia

Jeffrey R. Rubin, M. D. , Jerry Goldstone, M. D. , Kenneth E

Axillary-to-carotid artery bypass grafting for symptomatic severe common carotid artery occlusive disease Joseph P. Archie, PhD, MD Journal of Vascular.

Richard T. Purdy, M. D. , Frederick C. Beyer, M. D. , William D

Value of single photon emission computerized imaging in the treatment of patients undergoing carotid endarterectomy Roy L. Tawes, MD, Robert Lull, MD

Leiomyosarcoma of the inferior vena cava

A new valvulotome for in situ bypass grafts

Computed electroencephalographic topographic brain mapping

Intracerebral hemorrhage after carotid endarterectomy: Incidence, contribution to neurologic morbidity, and predictive factors Kenneth Ouriel, MD, Cynthia.

Relationship of severity of lower limb peripheral vascular disease to mortality and morbidity: A six-year follow-up study Mary A. Howell, MD, Mary Paula.

Malcolm O. Perry, MD, Richard Kempczinski, MD

Jeffrey R. Rubin, M. D. , Jerry Goldstone, M. D. , Kenneth E

Recurrent thoracic outlet syndrome

Heparin-coated catheters and heparin-induced thrombocytopenia

Axillopopliteal bypass for limb salvage

Minimal physiologic temperature variations during renal ischemia alter functional and morphologic outcome Timothy J. Pelkey, BS, Richard S. Frank, MD,

COMBINED INTERNAL CAROTID AND HYPOGLOSSAL ARTERY ENDARTERECTOMIES IN A SYMPTOM-FREE PATIENT WITH CONTRALATERAL INTERNAL CAROTID ARTERY OCCLUSION Raymond.

Peripheral atherectomy with the rotablator: A multicenter report

Lars G. Svensson, MD, PhD, E. Stanley Crawford, MD †, Kenneth R

Skin perfusion pressure in the prediction of healing in diabetic patients with ulcers or gangrene of the foot I. Faris, M.D., F.R.A.C.S., H. Duncan,

Cardiac risk in patients undergoing carotid endarterectomy: Impact on perioperative and long-term mortality William C. Mackey, MD, Thomas F. O'Donnell,

Richard E. Parsons, MD, Michael L. Marin, MD, Frank J

George H. Meier, MD, Bauer Sumpio, MD, PhD, Henry R

Carotid endarterectomy in octogenarians: Comparison with patient characteristics and outcomes in younger patients Joseph R. Schneider, MD, PhD, Julie.

Joseph R. Schneider, MD, PhD, Julie S. Droste, BSN, RN, John F

Mark K. Ferguson, MD, Amy E. Durkin, MS, PA-C

Physiology of carotid endarterectomy with ocular pneumoplethysmography

Renal transplant perfusion during aortoiliac aneurysmectomy

The ischemic window: A method for the objective quantitation of the training effect in exercise therapy for intermittent claudication Richard L. Feinberg,

Nancy L. Cantelmo, MD, Viken L. Babikian, MD, Ranji N

Georg Matheis, MD, Friedhelm Beyersdorf, MD

Calvin B. Ernst, MD Journal of Vascular Surgery

Value of single photon emission computerized imaging in the treatment of patients undergoing carotid endarterectomy Roy L. Tawes, MD, Robert Lull, MD

Coarctation of the abdominal aorta

Cardiovascular surgery—The rocket and its stars: Presidential address

The role of a defined protocol for cardiac risk assessment in decreasing perioperative myocardial infarction in vascular surgery T.J. Bunt, MD Journal.

Dipyridamole-thallium scintigraphy predicts perioperative and long-term survival after major vascular surgery Bruce S. Cutler, MD, Robert C. Hendel,

Dipyridamole thallium 201 scintigraphy to detect coronary artery disease before abdominal aortic surgery Bruce S. Cutler, M.D., Jeffrey A. Leppo, M.D.

Locoregional versus general anesthesia in carotid surgery: Is there an impact on perioperative myocardial ischemia? Results of a prospective monocentric.

Ahmed M. Abou-Zamzam, MD, Gregory L. Moneta, MD, James M

Research and research funding in vascular surgery

The use of preoperative exercise testing to predict cardiac complications after arterial reconstruction N. McPhail, M.D., F.R.C.S.(C), J.E. Calvin, M.D.,

Regarding “Venous ulcers and the superficial venous system”

J.Dennis Baker, MD Journal of Vascular Surgery

Above-knee amputation in patients with prior hip surgery: a caveat

Discussion The Journal of Thoracic and Cardiovascular Surgery

William C. Krupski, MD, Elizabeth L. Layug, MD, Linda M

Arie Markel, MD, Richard A. Manzo, BS, CCVT, Robert O. Bergelin, MS, D

Incidence and results of arterial complications among 16,350 patients undergoing cardiac catheterization Sateesh C. Babu, MD a, George O. Piccorelli,

Seizures following subclavian-carotid bypass

Jay B. Fisher, MD, Marc A. Granson, MD Journal of Vascular Surgery

Carotid biaxillary bypass: A new operation

Should patient age be a consideration in carotid endarterectomy?

Acute aortic occlusion – Factors that influence outcome

Monitoring vascular surgical performance

William E. Evans, M.D., James P. Hayes, M.S.

Carotid endarterectomy for nonhemispheric cerebral symptoms: Patient selection with ocular pneumoplethysmography Kenneth Ouriel, M.D., John J. Ricotta,

D. Emerick Szilagyi, MD—An appreciation

Presidential address: The second-generation vascular surgeon

George D. Lilly 1906–1988 Journal of Vascular Surgery

James A. DeWeese, MD Journal of Vascular Surgery

Jerry Goldstone, MD Journal of Vascular Surgery

Axillary-to-carotid artery bypass grafting for symptomatic severe common carotid artery occlusive disease Joseph P. Archie, PhD, MD Journal of Vascular.

Innominate artery trauma: A thirty-year experience

Brachial artery injury after cardiac catheterization

Cornelius A. Sullivan, MD, Michael J. Rohrer, MD, Bruce S. Cutler, MD

Vivienne J. Halpern, MD, Roxana G. Kline, MD, Anthony J

Presentation transcript:

Silent myocardial ischemia in patients undergoing peripheral vascular surgery: Incidence and association with perioperative cardiac morbidity and mortality Richard L. McCann, MD, Fiona M. Clements, MD Journal of Vascular Surgery Volume 9, Issue 4, Pages 583-587 (April 1989) DOI: 10.1016/0741-5214(89)90477-1 Copyright © 1989 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 1 A, Occurrence of ischemia during time periods. The number of patients experiencing ischemia and the mean duration of ischemia for each phase of monitoring are shown. B, Occurrence of tachycardia over time. The duration of tachycardia in the ischemic and non-ischemic groups is compared over time. Preop, the preoperative phase from the time of monitor application until 2 hours before anesthesia; intraop, the intraoperative period beginning 2 hours before anesthesia and ending 2 hours after emergence from anesthesia; DOS, the remainder of the day of surgery after the intraoperative phase; POD 1, 2, and 3, postoperative days 1, 2, and 3. Journal of Vascular Surgery 1989 9, 583-587DOI: (10.1016/0741-5214(89)90477-1) Copyright © 1989 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 2 Heart rate and ST level histogram from a patient undergoing general anesthesia. The record begins at midnight on the day of surgery and ends at 2 pm on postoperative day 1. Duration of anesthesia is indicated by the arrows. Black bars indicate maximum and minimum heart rates for each 15-minute time interval. Mean heart rate is indicated by the white line. The stipled area is the area under the minimum heart rate curve for computer integration purposes. EC, spurious ST elevation caused by electrocautery interference. Journal of Vascular Surgery 1989 9, 583-587DOI: (10.1016/0741-5214(89)90477-1) Copyright © 1989 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions