Outcome of noncardiac operations in patients with severe coronary artery disease successfully treated preoperatively with coronary angioplasty

K. C. Huber, M. A. Evans, J. F. Bresnahan, Raymond J Gibbons, David Holmes

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116 Citations (Scopus)

Abstract

The risk of perioperative myocardial infarction and death was evaluated in 50 patients (mean age, 68 years) with severe coronary artery disease who underwent a noncardiac operation after revascularization had been achieved by successful percutaneous transluminal coronary angioplasty. Before angioplasty, all patients were thought to be at high risk for perioperative complications on the basis of assessment of clinical variables and findings on specialized diagnostic tests. Of the 50 patients, 31 had Canadian Heart Association class III or IV angina or unstable angina. All patients who underwent functional testing had positive results. At catheterization, 38 patients (76%) had multivessel disease. The 50 patients underwent 54 noncardiac operations at a median of 9 days after angioplasty. The overall frequency of perioperative myocardial infarction was 5.6%, and the mortality was 1.9%. Two nonfatal non-Q-wave infarctions and one fatal Q-wave infarction occurred. In patients who have undergone successful angioplasty for severe coronary artery disease, the risk of major cardiac complications associated with a noncardiac surgical procedure is low.

Original languageEnglish (US)
Pages (from-to)15-21
Number of pages7
JournalMayo Clinic Proceedings
Volume67
Issue number1
StatePublished - 1992

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Angioplasty
Coronary Artery Disease
Infarction
Myocardial Infarction
Coronary Balloon Angioplasty
Unstable Angina
Routine Diagnostic Tests
Catheterization
Mortality

ASJC Scopus subject areas

  • Medicine(all)

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Outcome of noncardiac operations in patients with severe coronary artery disease successfully treated preoperatively with coronary angioplasty. / Huber, K. C.; Evans, M. A.; Bresnahan, J. F.; Gibbons, Raymond J; Holmes, David.

In: Mayo Clinic Proceedings, Vol. 67, No. 1, 1992, p. 15-21.

Research output: Contribution to journalArticle

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