Preoperative cardiac evaluation does not improve or predict perioperative or late survival in asymptomatic diabetic patients undergoing elective infrainguinal.

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Presentation transcript:

Preoperative cardiac evaluation does not improve or predict perioperative or late survival in asymptomatic diabetic patients undergoing elective infrainguinal arterial reconstruction Thomas S. Monahan, MD, Gautam V. Shrikhande, MD, Frank B. Pomposelli, MD, John J. Skillman, MD, David R. Campbell, MD, Sherry D. Scovell, MD, Frank W. Logerfo, MD, Allen D. Hamdan, MD Journal of Vascular Surgery Volume 41, Issue 1, Pages 38-45 (January 2005) DOI: 10.1016/j.jvs.2004.08.059 Copyright © 2005 The Society for Vascular Surgery Terms and Conditions

Fig 1 The American College of Cardiology/American Heart Association algorithm for perioperative cardiovascular evaluation for noncardiac surgery. *Subsequent care may include cancellation or delay. CHF, congestive heart failure; ECG, electrocardiogram METS, metabolic equivalents of oxygen consumption; MI, myocardial infarction. Reprinted from ACC/AHA Guidelines for the Perioperative Cardiovascular Evaluation for Noncardiac Surgery. J Am Coll Cardiol 1996;27:910-48. Copyright 1996 The American College of Cardiology Foundation and American Heart Association. Permission granted for one time use. Further reproduction is not permitted without permission of thre ACC/AHA. (c) 2001 The American College of Cardiology Foundation and the American Heart Association, Inc. All rights reserved. This material is the exclusive property of and is approved by ACC/AHA and is protected under U.S. Copyright and international laws. Any use of this material, including downloading or copying from this web site [or CD ROM] for your personal use, will indicate your consent and agreement to the terms stated in this notice. No right, title or interest in the material is conveyed to you as a result of any such downloading or copying, and such downloading or copied material may not be used for any commercial purpose. Journal of Vascular Surgery 2005 41, 38-45DOI: (10.1016/j.jvs.2004.08.059) Copyright © 2005 The Society for Vascular Surgery Terms and Conditions

Fig 2 Kaplan-Meier analysis for patients with and without a preoperative cardiac evaluation. The dashed line represents the cohort that had a cardiac evaluation, the solid line represents the cohort that did not. Journal of Vascular Surgery 2005 41, 38-45DOI: (10.1016/j.jvs.2004.08.059) Copyright © 2005 The Society for Vascular Surgery Terms and Conditions