Cardiac complications after elective major vascular surgery.


Journal Article (Review)

Cardiac complications are the major cause of perioperative and late mortality and morbidity in patients undergoing elective major vascular surgery. This review focuses on the pathophysiology of perioperative complications, risk assessment and risk reduction strategies, all related to cardiovascular disease. Patients without cardiac risk factors are considered to be at low risk and no additional evaluation for coronary artery disease is recommended; beta-adrenergic blockers may reduce perioperative cardiac events; patients with one or more risk factors represent an intermediate to high-risk population. beta-Adrenergic blockers should be prescribed to all patients and coronary revascularization should be reserved for patients who have a clearly defined need for revascularization independent of the need for vascular surgery.

Full Text

Cited Authors

  • Kertai, MD; Klein, J; van Urk, H; Bax, JJ; Poldermans, D

Published Date

  • July 2003

Published In

Volume / Issue

  • 47 / 6

Start / End Page

  • 643 - 654

PubMed ID

  • 12803580

Pubmed Central ID

  • 12803580

International Standard Serial Number (ISSN)

  • 0001-5172

Digital Object Identifier (DOI)

  • 10.1034/j.1399-6576.2003.00149.x


  • eng

Conference Location

  • England