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Titolo:
EXPERT OPINION REGARDING INDICATIONS FOR CORONARY ANGIOGRAPHY BEFORE NONCARDIAC SURGERY
Autore:
COHEN MC; EAGLE KA;
Indirizzi:
HARVARD UNIV,SCH MED,BETH ISRAEL DEACONESS MED CTR,NUCL CARDIOL SECT,DIV CARDIOVASC BOSTON MA 02215 HARVARD UNIV,SCH MED,BETH ISRAEL DEACONESS MED CTR,NUCL CARDIOL SECT,INST PREVENT CARDIOVASC DIS BOSTON MA 02215 UNIV MICHIGAN,MED CTR,DIV CARDIOL ANN ARBOR MI 48109 UNIV MICHIGAN,MED CTR,HEART CARE PROGRAM ANN ARBOR MI 48109
Titolo Testata:
The American heart journal
fascicolo: 2, volume: 134, anno: 1997,
parte:, 1
pagine: 321 - 329
SICI:
0002-8703(1997)134:2<321:EORIFC>2.0.ZU;2-X
Fonte:
ISI
Lingua:
ENG
Soggetto:
DOBUTAMINE STRESS ECHOCARDIOGRAPHY; PERIPHERAL VASCULAR-DISEASE; MAJOR CARDIAC EVENTS; RISK STRATIFICATION; CARDIOVASCULAR RISK; DIABETES-MELLITUS; PREDICTIVE VALUE; ARTERY DISEASE; REVASCULARIZATION; COMPLICATIONS;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
30
Recensione:
Indirizzi per estratti:
Citazione:
M.C. Cohen e K.A. Eagle, "EXPERT OPINION REGARDING INDICATIONS FOR CORONARY ANGIOGRAPHY BEFORE NONCARDIAC SURGERY", The American heart journal, 134(2), 1997, pp. 321-329

Abstract

Whether to perform coronary angiography on the basis of preoperative noninvasive cardiac testing remains a difficult decision. We hypothesized that there are noninvasive test results for which experts have general agreement about the indication for preoperative coronary angiography. We asked 30 experts (24 in specific diagnostic tests and six in clinical cardiology) to comment on statements regarding hypothetical noninvasive test results. There was agreement that catheterization should be performed for (1) exercise electrocardiographic ischemia with a blood pressure drop > 10 mm Hg, (2) stress perfusion scan reversibilityin one half or more of single-photon emission computed tomographic slices, and (3) stress echo ischemia in more than five segments, two or more coronary artery zones, or four left anterior descending coronary artery segments. Therefore coronary angiography should be performed for results of noninvasive tests that indicate large zones of myocardialischemia and not for limited ischemia or test abnormalities without other significant findings.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 27/11/20 alle ore 06:58:14