PMID: 1206186Dec 1, 1975Paper

Operative and nonoperative risks in the cardiac patient

Journal of the American Geriatrics Society
J A SapalaW F Duvernoy

Abstract

Four hundred and sixteen patients with documented arteriosclerotic heart disease (ASHD) underwent 424 diagnostic and therapeutic surgical procedures during the year 1970 at the Henry Ford Hospital. They were classified according to the specific clinical manifestation of their cardiac abnormality. Patients with a history of old, well-compensated myocardial infarction, and those with cardiac arrhythmia, bundle-branch block, congestive heart failure and A-V block (pacemaker-protected) but no evidence of previous myocardial infarction fared almost as well as subjects of the same age without cardiac disease, and were considered to run the lowest operative risk. Patients with angina, especially if there was a history of infarction, were an intermediate risk in terms of complications and mortality. Patients with a history of previous infarction complicated at the time of the surgical procedure by arrhythmia, A-V block, bundle-branch block, or congestive heart failure were in the "highest risk" category. A severe A-V block indicated the need for insertion of a "prophylactic" pacemaker before any attempt at a diagnostic or therapeutic procedure. No patient with clinical or electrocardiographic evidence of a recent infarction (less than ...Continue Reading

References

Mar 1, 1971·British Journal of Anaesthesia·D D Howat
Dec 21, 1968·British Medical Journal·P R HunterF O Stephens
Oct 1, 1966·Annals of Surgery·D E SzilagyiF W Sherrin
Apr 1, 1961·American Journal of Surgery·M M NACHLASM M GOLDBERG
Oct 27, 1962·JAMA : the Journal of the American Medical Association·R B KNAPPJ F ARTUSIO
Sep 1, 1963·The American Journal of Cardiology·T W MATTINGLY

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Citations

Jun 1, 1980·Acta Anaesthesiologica Scandinavica·M EerolaL Kaukinen
Oct 1, 1977·American Journal of Surgery·M B Flynn
Sep 1, 1978·Canadian Anaesthetists' Society Journal·A V BidwaiV A Bidwai
Jan 1, 1979·Acta Anaesthesiologica Scandinavica. Supplementum·K van AckernP Schmucker
May 1, 1980·Current Problems in Cardiology·D N SalemJ M Isner

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