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Titolo:
Age and history of cardiac disease as risk factors for cardiac complications after peripheral vascular surgery in diabetic patients
Autore:
Zarich, SW; Pierce, ET; Nesto, RW; Mittleman, MA; Bode, RH; Kowalchuk, G; Cohen, MC;
Indirizzi:
Yale Univ, Bridgeport Hosp, Sch Med, Cardiol Sect, Bridgeport, CT 06610 USA Yale Univ Bridgeport CT USA 06610 Cardiol Sect, Bridgeport, CT 06610 USA Harvard Univ, Beth Israel Deaconess Hosp, Sch Med, Div Anesthesiol, Boston, MA USA Harvard Univ Boston MA USA osp, Sch Med, Div Anesthesiol, Boston, MA USA Harvard Univ, Beth Israel Deaconess Hosp, Sch Med, Div Cardiol, Boston, MAUSA Harvard Univ Boston MA USA ess Hosp, Sch Med, Div Cardiol, Boston, MAUSA Carolinas Heart Inst, Charlotte, NC USA Carolinas Heart Inst Charlotte NCUSA inas Heart Inst, Charlotte, NC USA
Titolo Testata:
MAYO CLINIC PROCEEDINGS
fascicolo: 1, volume: 76, anno: 2001,
pagine: 34 - 38
SICI:
0025-6196(200101)76:1<34:AAHOCD>2.0.ZU;2-9
Fonte:
ISI
Lingua:
ENG
Soggetto:
DIPYRIDAMOLE-THALLIUM SCINTIGRAPHY; NONCARDIAC SURGERY; MELLITUS;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
16
Recensione:
Indirizzi per estratti:
Indirizzo: Zarich, SW Yale Univ, Bridgeport Hosp, Sch Med, Cardiol Sect, 267 Grant St, Bridgeport, CT 06610 USA Yale Univ 267 Grant St Bridgeport CT USA 06610 rt, CT 06610 USA
Citazione:
S.W. Zarich et al., "Age and history of cardiac disease as risk factors for cardiac complications after peripheral vascular surgery in diabetic patients", MAYO CLIN P, 76(1), 2001, pp. 34-38

Abstract

Objective: To examine the relationship of age and clinical factors to postoperative cardiovascular events in a cohort of diabetic patients undergoingperipheral vascular surgery. Patients and Methods: In this cohort study, 316 diabetic patients were followed up prospectively after femoral-to-distal artery bypass surgery. The major end points of the study were all-cause mortality and cardiac morbidity(cardiac events defined as nonfatal myocardial infarction, unstable angina, and congestive heart failure). Results: The overall postoperative cardiac event rate was 17.1% (54/316), with a 7.6% (24/316) rate of postoperative death or nonfatal myocardial infarction, Older diabetic patients (greater than or equal to 65 years) had a complication rate of 19.9% (43/216) compared with an 11.0% (11/100) complication rate in younger diabetic patients (<65 years) (P=.02), Younger diabetic patients with a clinical history of coronary artery disease had an eventrate of 18.2% (39/216) compared with an event rate of 2.4% (1/42) in younger diabetic patients without known cardiac disease (P=.02), In contrast, event rates were similar (20.7% [150/208] vs 18.2% [66/108]) in older diabetic patients,vith or without prior evidence of cardiac disease. Conclusion: Advanced age and clinical evidence of coronary artery disease are important determinants of postoperative outcome in diabetic patients undergoing peripheral vascular surgery.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 02/12/20 alle ore 05:19:42