Influence of coronary artery disease on noncardiac surgery risk

K. A. Eagle, C. S. Rihal, M. C. Mickel, D. R. Holmes, E. D. Foster, B. J. Gresh

Research output: Contribution to journalArticle

Abstract

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 languageEnglish (US)
Pages (from-to)34-36
Number of pages3
JournalCardiology Review
Volume15
Issue number4
StatePublished - Jan 1 1998

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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    Eagle, K. A., Rihal, C. S., Mickel, M. C., Holmes, D. R., Foster, E. D., & Gresh, B. J. (1998). Influence of coronary artery disease on noncardiac surgery risk. Cardiology Review, 15(4), 34-36.