Preoperative cardiac testing before major vascular surgery

Sanne E. Hoeks, Olaf Schouten, Maureen J. van der Vlugt, Don Poldermans
Review Articles
Volume 14, Issue 6 / November , 2007

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Conclusions

Preoperative risk assessment with a noninvasive stress test (MPS or DSE) is necessary only in high-risk patients without unnecessary delay for vascular surgery. High-risk patients can easily be selected through the risk score index. Prophylactic revascularization should only be performed in those with unstable coronary artery disease. The optimal perioperative medical treatment, especially tight heart-rate control, is essential for decreasing perioperative and postoperative cardiac risk.

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