Assessment of Cardiac Risk Before Aortic Reconstruction: Noninvasive Work-Up Using Clinical Examination, Exercise Testing, and Dobutamine Stress Echocardiography Versus Routine Coronary Arteriography

Therre, T; Ribal, Jean-Pierre; Motreff, Pascal; Lusson, Jean-René; Espeut, Jean-Baptiste; Cassagnes, J; Glanddier, G

doi:10.1007/s100169900290

Cited by 8 publications

(4 citation statements)

References 44 publications

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“…60 For patients with cardiac indications, observational studies report abnormal echocardiography findings in 7.5-25.2% of patients, 89 -92 leading to cancellation of surgery in 0.8% of cases (Category B2 evidence). 92 In selected or indicated patients, abnormal stress or exercise test findings were reported for 15.2-61.9% of patients, 74,[93][94][95][96] leading to additional cardiac testing in 39.5% of patients with abnormal findings (Category B2 evidence). 96 A retrospective nonblinded study of vascular surgery patients administered a preoperative stress test reports a reduced 30-day mortality compared with patients not administered a preoperative cardiac test (Category B2 evidence).…”

Section: Electrocardiogram (Ecg)mentioning

confidence: 99%

Practice Advisory for Preanesthesia Evaluation

2012

Anesthesiology

554

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An Updated Report by the American Society of Anesthesiologists Task Force on Preanesthesia Evaluation P RACTICE Advisories are systematically developed reports that are intended to assist decision-making in areas of patient care. Advisories provide a synthesis and analysis of expert opinion, clinical feasibility data, open forum commentary, and consensus surveys. Practice Advisories developed by the American Society of Anesthesiologists (ASA) are not intended as standards, guidelines, or absolute requirements, and their use cannot guarantee any specific outcome. They may be adopted, modified, or rejected according to clinical needs and constraints and are not intended to replace local institutional policies. Practice Advisories are not supported by scientific literature to the same degree as standards or guidelines because of the lack of sufficient numbers of adequately controlled studies. Practice Advisories are subject to periodic update or revision as warranted by the evolution of medical knowledge, technology, and practice. This document updates the "Practice Advisory for Preanesthesia Evaluation: A Report by the American Society of Anesthesiologists Task Force on Preanesthesia Evaluation," adopted by the ASA in 2001 and published in 2002.* Methodology A. Definition of Preanesthesia Evaluation The literature does not provide a standard definition for preanesthesia evaluation. For this Practice Advisory, preanesthesia evaluation is defined as the process of clinical assessment that precedes the delivery of anesthesia care for surgery and for nonsurgical procedures. For this Advisory, "perioperative" refers to the care surrounding operations and procedures. The preanesthetic evaluation is the responsibility of the anesthesiologist. Preanesthesia evaluation consists of the consideration of information from multiple sources that may include the patient's medical records, interview, physical examination, and findings from medical tests and evaluations. As part of the Updated by the Committee on Standards and Practice Parameters, Jeffrey L. Apfelbaum, M.D. (Chair),

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Section: Electrocardiogram (Ecg)mentioning

confidence: 99%

Practice Advisory for Preanesthesia Evaluation

2012

Anesthesiology

554

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“…Because intravenous dobutamine increases myocardial oxygen demand in a fashion similar to exercise, it is advantageous in patients who may need a cardiac stress test but cannot exercise due to peripheral vascular disease, physical incapacitation, or chronic deconditioning (28). For this reason, dobutamine stress is useful for assessing preoperative risk in patients who need noncardiac vascular surgery but cannot exercise due to claudication (29).…”

Section: Intravenous Dobutamine and Atropinementioning

confidence: 99%

Dobutamine cardiovascular magnetic resonance: A review

Mandapaka

Hundley

2006

Magnetic Resonance Imaging

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“…For patients with indicated cardiac evaluations, abnormal findings were found with angiography: 22.5-47.0% of cases (N ϭ 4 studies) [117][118][119][120] ; echocardiography: 7.5%-50.0% of cases (N ϭ 5 studies) [121][122][123][124][125] ; stress or exercise tests; 15.0 -71.0% of cases (N ϭ 3 studies). 105,126,127 Changes in clinical management were not uniformly reported.…”

Section: Selection and Timing Of Preoperative Testsmentioning

confidence: 99%

Practice Advisory for Preanesthesia Evaluation

2002

Anesthesiology

296

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PRACTICE advisories are systematically developed reports that are intended to assist decision-making in areas of patient care where scientific evidence is insufficient to develop an evidence-based model. Practice advisories provide a synthesis of opinion from experts, open forums, and other public sources. Practice advisories report the current state of scientific literature, but are not supported by literature to the same degree as standards or guidelines due to the lack of sufficient numbers of adequately controlled studies.Advisories are not intended as guidelines, standards, or absolute requirements. The use of practice advisories cannot guarantee any specific outcome. They may be adopted, modified, or rejected according to clinical needs and constraints. Practice advisories are subject to periodic revision as warranted by the evolution of medical knowledge, technology, and practice.

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Assessment of Cardiac Risk Before Aortic Reconstruction: Noninvasive Work-Up Using Clinical Examination, Exercise Testing, and Dobutamine Stress Echocardiography Versus Routine Coronary Arteriography

Cited by 8 publications

References 44 publications

Practice Advisory for Preanesthesia Evaluation

Practice Advisory for Preanesthesia Evaluation

Dobutamine cardiovascular magnetic resonance: A review

Practice Advisory for Preanesthesia Evaluation

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