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Assessment of coronary artery disease risk in 5463 patients undergoing cardiac surgery: When is preoperative coronary angiography necessary?  Nassir M.

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Presentation on theme: "Assessment of coronary artery disease risk in 5463 patients undergoing cardiac surgery: When is preoperative coronary angiography necessary?  Nassir M."— Presentation transcript:

1 Assessment of coronary artery disease risk in 5463 patients undergoing cardiac surgery: When is preoperative coronary angiography necessary?  Nassir M. Thalji, MBChB, Rakesh M. Suri, MD, DPhil, Richard C. Daly, MD, Joseph A. Dearani, MD, Harold M. Burkhart, MD, Soon J. Park, MD, Kevin L. Greason, MD, Lyle D. Joyce, MD, John M. Stulak, MD, Marianne Huebner, PhD, Zhuo Li, MSc, Robert L. Frye, MD, Hartzell V. Schaff, MD  The Journal of Thoracic and Cardiovascular Surgery  Volume 146, Issue 5, Pages e1 (November 2013) DOI: /j.jtcvs Copyright © 2013 The American Association for Thoracic Surgery Terms and Conditions

2 Figure 1 Identification of study subjects. CABG, Coronary artery bypass grafting; CCA, conventional coronary angiography; MI, myocardial infarction; PCI, percutaneous coronary intervention. The Journal of Thoracic and Cardiovascular Surgery  , e1DOI: ( /j.jtcvs ) Copyright © 2013 The American Association for Thoracic Surgery Terms and Conditions

3 Figure 2 Gender-specific age thresholds predicting low probability of coronary artery disease (CAD) in the absence of diabetes and peripheral vascular disease (PVD). A, Age thresholds consistent with a 10% or less predicted probability of CAD in all men and women free of diabetes and PVD undergoing noncoronary cardiac surgery. Gender-specific age thresholds are also depicted for subsets of patients undergoing (B), aortic valve surgery, (C), mitral valve surgery, and (D), septal myectomy. The Journal of Thoracic and Cardiovascular Surgery  , e1DOI: ( /j.jtcvs ) Copyright © 2013 The American Association for Thoracic Surgery Terms and Conditions

4 Figure 3 Algorithm for estimating probability of coronary artery disease prior to noncoronary cardiac surgery. MI, Myocardial infarction; PCI, percutaneous coronary intervention; DM, diabetes mellitus; PVD, peripheral vascular disease; CAD, coronary artery disease; ♀, female; ♂, male. The Journal of Thoracic and Cardiovascular Surgery  , e1DOI: ( /j.jtcvs ) Copyright © 2013 The American Association for Thoracic Surgery Terms and Conditions

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