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Titolo:
Secondary prevention of coronary artery disease in patients undergoing elective surgery for peripheral arterial disease
Autore:
Nass, CM; Allen, JK; Jermyn, RM; Fleisher, LA;
Indirizzi:
Johns Hopkins Univ, Sch Med, Baltimore, MD 21287 USA Johns Hopkins Univ Baltimore MD USA 21287 ch Med, Baltimore, MD 21287 USA Johns Hopkins Univ, Sch Nursing, Baltimore, MD 21287 USA Johns Hopkins Univ Baltimore MD USA 21287 ursing, Baltimore, MD 21287 USA
Titolo Testata:
VASCULAR MEDICINE
fascicolo: 1, volume: 6, anno: 2001,
pagine: 35 - 41
SICI:
1358-863X(200102)6:1<35:SPOCAD>2.0.ZU;2-P
Fonte:
ISI
Lingua:
ENG
Soggetto:
CAROTID ATHEROSCLEROSIS; PROGRESSION; RISK; ULTRASOUND; OPERATIONS; POPULATION; MORTALITY; CAPACITY; SMOKING; INDEX;
Keywords:
CAD; PAD; secondary prevention;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
25
Recensione:
Indirizzi per estratti:
Indirizzo: Nass, CM Johns Hopkins Univ, Sch Med, 600 N Wolfe St,Carnegie 538, Baltimore, MD 21287 USA Johns Hopkins Univ 600 N Wolfe St,Carnegie 538 Baltimore MD USA 21287
Citazione:
C.M. Nass et al., "Secondary prevention of coronary artery disease in patients undergoing elective surgery for peripheral arterial disease", VASC MED, 6(1), 2001, pp. 35-41

Abstract

The purpose of the study was to assess the implementation of secondary prevention guidelines of coronary artery disease (CAD) in patients undergoing peripheral revascularization surgery. The design was a descriptive study ofthe prevalence of cardiac risk factors and preventive pharmacological therapy in vascular surgical patients set in an academic medical center betweenJuly 1996 and February 1999. A total of 237 patients were recruited, 82 (35%) having carotid surgery and 155 (65%) having lower extremity bypass. Data were collected from an existing database of a study examining perioperative cardiac events in vascular surgery patients. The majority of patients were hypertensive and 58% of patients had a blood pressure >140/90 mmHg. Mostpatients (81%) reported a history of tobacco use and 23% were active smokers. Of the 41% of patients who were diabetic, 46% had a random glucose >140mg/dl. Half of the patients took aspirin, 35% a lipid-lowering medication,30% a beta-blocker. Patients with lower extremity disease were less likelythan patients with carotid disease to be on aspirin (45% vs. 62%), a lipid-lowering agent (30% vs. 45%), or a beta-blocker (26% vs. 39%) (all p<0.05). Of patients with heart disease, more men than women were on aspirin (62% vs. 45%) (p<0.05). In conclusion, our findings suggest that patients presenting for vascular surgery have a high prevalence of modifiable CAD risk factors that are not being adequately managed. Preoperative examination of vascular patients is an important opportunity to assess and implement neglected secondary prevention measures.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 25/01/20 alle ore 16:19:44