We examined subgroups of noncardiac surgery to evaluate the clinical predictors of perioperative cardiac complications. Drawing from a registry of 24,959 persons with suspected coronary artery disease, we used a cohort of 3,368 patients who underwent noncardiac surgery at a mean of 4.1 years of follow-up. The degree and duration of benefit conferred by previous coronary revascularization of 30-day combined mortality and myocardial infarction rates were also evaluated. Our results show a greater than 4% combined rate of infarction and death for patients with coronary artery disease who did not have previous revascularization surgery and who underwent higher-risk surgery. Patients with advanced angina or multiple-vessel coronary artery disease, or both, achieved the most protection from coronary artery bypass surgery.
|Original language||English (US)|
|Number of pages||3|
|State||Published - Jan 1 1998|
ASJC Scopus subject areas
- Cardiology and Cardiovascular Medicine