Utility of detailed preoperative cardiac testing and incidence of post-thoracotomy myocardial infarction

Dawn E. Jaroszewski, Joseph Huh, Danny Chu, S. Chris Malaisrie, Anthony D. Riffel, Howard S. Gordon, Xing Li Wang, Faisal Bakaeen

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8 Scopus citations

Abstract

Objective: Recent literature has questioned the efficacy of routine detailed preoperative cardiac ischemia testing and preoperative cardiac intervention before noncardiac surgical procedures. Methods: We performed a retrospective review of patients undergoing thoracotomy (n = 294) between January of 1999 and January of 2005. Results: The median age was 62 years. Detailed preoperative cardiac testing was performed on 184 patients (63%) and went beyond a thorough history, physical examination, and electrocardiogram to include at least one of the following: dobutamine stress echo (n = 116), nuclear stress test (n = 66), treadmill test (n = 8), and coronary angiogram (n = 40). Evidence for coronary disease was detected in 43% of tests (99/230) performed. Revascularization was performed in 10% of all patients (4/40) who underwent coronary angiography. Postoperative myocardial infarction occurred in 7 patients (2.4%) with 4 myocardial infarction-related mortalities. No significant difference was found in the incidence of myocardial infarction in patients with (n = 184) or without (n = 110) detailed preoperative cardiac testing (3.3% vs 0.9%, P = .29). Of the 4 patients (1.4%) who underwent revascularization to treat coronary lesions identified during prethoracotomy workup, 2 had a myocardial infarction, 1 of which was caused by thrombosis of a coronary stent. In the subset of patients who underwent lobectomy (n = 149), detailed cardiac testing was performed on 107 patients (72%). The incidence of myocardial infarction was similar in tested and untested patients (2.8% vs 2.4% respectively, P = 1.0). Conclusion: Selective use of detailed preoperative cardiac testing refines risk stratification and identifies patients for corrective cardiac interventions; however, it did not prove fully protective against myocardial infarction after thoracotomy in our study.

Original languageEnglish (US)
Pages (from-to)648-655
Number of pages8
JournalJournal of Thoracic and Cardiovascular Surgery
Volume135
Issue number3
DOIs
StatePublished - Mar 2008

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ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Surgery

Cite this

Jaroszewski, D. E., Huh, J., Chu, D., Malaisrie, S. C., Riffel, A. D., Gordon, H. S., Wang, X. L., & Bakaeen, F. (2008). Utility of detailed preoperative cardiac testing and incidence of post-thoracotomy myocardial infarction. Journal of Thoracic and Cardiovascular Surgery, 135(3), 648-655. https://doi.org/10.1016/j.jtcvs.2007.09.021