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

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

1 Cardiac risk in patients undergoing carotid endarterectomy: Impact on perioperative and long-term mortality  William C. Mackey, MD, Thomas F. O'Donnell, MD, Allan D. Callow, MD, PhD  Journal of Vascular Surgery  Volume 11, Issue 2, Pages (February 1990) DOI: / (90)90265-C Copyright © 1990 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

2 Fig. 1 Comparison of life-table stroke-free rates and life-table stroke-free survival rates in our carotid endarterectomy patients. Shaded area represents nonstroke-related mortality. Journal of Vascular Surgery  , DOI: ( / (90)90265-C) Copyright © 1990 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

3 Fig. 2 Life-table survival for patients with (group I) and without (group II) overt coronary disease. N values for each time point are shown, p < for group I versus group II survival. Journal of Vascular Surgery  , DOI: ( / (90)90265-C) Copyright © 1990 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

4 Fig. 3 Life-table, myocardial infarction—free rates for patients with (group I) and without (group II) overt coronary disease. N values for each time point are shown, p = for difference in myocardial infarction—free rates between groups. Note similarity between myocardial infarction—free rates and survival rates (Fig. 2) within groups. Journal of Vascular Surgery  , DOI: ( / (90)90265-C) Copyright © 1990 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

5 Fig. 4 Life-table survival for patients without overt coronary disease but with (group IIA) and without (group IIB) risk factors (diabetes, cigarette use, hyperlipidemia). N values for each time point are shown, p = 0.01 for difference between groups. Note similarity of survival up to 3 years and divergence thereafter. Journal of Vascular Surgery  , DOI: ( / (90)90265-C) Copyright © 1990 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

6 Fig. 5 Life-table, myocardial infarction—free rates for patients without overt coronary disease but with (group IIA) and without (group IIB) risk factors (diabetes, cigarette use, hyperlipidemia). N values for each time point are shown, p = for difference between groups. Note similarity between infarction-free and survival rates (Fig. 4) within groups. Note similarity of infarction-free rates between groups up to 3 years and divergence thereafter. Journal of Vascular Surgery  , DOI: ( / (90)90265-C) Copyright © 1990 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

7 Fig. 6 Algorithm for cardiac evaluation of carotid patients. Proof that aggressive cardiac evaluation and therapy improves late survival awaits results of prospective randomized trials. Journal of Vascular Surgery  , DOI: ( / (90)90265-C) Copyright © 1990 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

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