Cardiac Risk Stratification and Protection

Halub, Meghan E; Sidwell, Richard A.

doi:10.1016/j.suc.2014.11.007

Cited by 6 publications

(8 citation statements)

References 51 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In 1977, Goldman and col. evaluated risk factors and the Goldman cardiac index was created. This index was updated in 1986 by Detsky et al, which produced a new point system that incorporated patients with recent myocardial infarction, angina, and heart failure [8]. Finally, in 1999, Lee and col. validated the Revised Cardiac Risk Index, a modified version of the original Goldman.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Goldman score, but not Detsky or Lee indices, predicts mortality 6 months after hip fracture

Azevedo

Gumieiro

Polegato

et al. 2017

BMC Musculoskelet Disord

View full text Add to dashboard Cite

BackgroundOver the past years, several cardiac risk indices were evaluated and modified, including Goldman, Detsky, and Lee scores. The predictive capacity of these scores in hip fracture patients is lacking. Thus, our objective was to compare the Goldman, Detsky, and Lee scores as predictors of mortality in 6 months after hip fracture.MethodsWe prospectively evaluated 80 consecutive patients with hip fractures, over the age of 65 admitted to an orthopedic ward at Botucatu Medical School. Patient demographic information, Goldman, Detsky and Lee scores were recorded. All patients were followed for 6 months after hip fracture, and mortality was recorded. Multiple logistic regression analyses were performed for mortality prediction.ResultsThe mortality rate was 23% after a 6-month follow-up period. Patients who died had advanced age and the majority of them were male. They also had lower values of handgrip strength, and higher values of creatinine and urea. In the multiple logistic regression models when adjusted by age, gender, handgrip strength and creatinine, Goldman’s score (OR:3.025; 95%CI:1.022-8.953; p:0.046), but not Detsky (OR:2.328; 95%CI:0.422-12.835; p:0.332) and Lee (OR:1.262; 95%CI:0.649-2.454; p:0.494), was associated with mortality 6 months after hip fracture. Each 1 category increase in Goldman score increased the mortality to more than 3-fold.ConclusionsIn conclusion, our data suggest that Goldman score, but not Detsky or Lee indices, predicts mortality associated with hip fracture at up to 6 months post-injury.

show abstract

Section: Discussionmentioning

confidence: 99%

“…It helps define goals for the forthcoming procedure, and also determines whether the procedure is a realistic option [8]. …”

Section: Introductionmentioning

confidence: 99%

Goldman score, but not Detsky or Lee indices, predicts mortality 6 months after hip fracture

Azevedo

Gumieiro

Polegato

et al. 2017

BMC Musculoskelet Disord

View full text Add to dashboard Cite

show abstract

“…An ST/ HR slope more than 2.4 μV/bpm is considered abnormal, and values more than 6 μV/bpm is suggestive of anatomically extensive disease, including three vessels or left main CAD [151,152]. The slope is used with gradual increments exercise protocol in HR, such as the Cornell protocol, because large increments in rate between stages of the Bruce protocol limit the ability to calculate statistically valid ST/HR slopes by regression [153][154][155][156]. ST/HR slope increases sensitivity for diagnosis of CAD and for identification of anatomically and functionally severe CAD when markedly abnormal.…”

Section: Hr Adjustment Of St-segment Depressionmentioning

confidence: 99%

The diagnostic value of exercise stress testing for cardiovascular disease is more than just st segment changes: A review

Sharif¹,

Alway²

2016

J Integr Cardiol

View full text Add to dashboard Cite

Purpose: The objectives of this review were to: (1) identify the acute cardiovascular responses to aerobic exercise used in an exercise stress test (EST), (2) identify when and how to best conduct an EST including the stopping point, (3) identify conditions that would preclude an EST, (4) define the limiting signs and symptoms associated with an EST (5), discuss what data are needed as part of an EST and how to interpret EST data. Methods:We identify the cardiovascular responses to an EST and when an EST should or should not be used. Finally we analyze the components of an EST and potential sensitivities, significances and predictability of the changes in the outcome data that will provide diagnosis overt cardiovascular disease, and for purposes of exercise prescription and evaluation of rehabilitation effects in cardiac patients.Results: Although most of the focus for performing an EST traditionally has been on the diagnostic value to identify ST-segment abnormalities, an EST provides other valuable diagnostic and prognostic data including maximal oxygen consumption (predicted or measured), exercise capacity and fatigability, blood pressure and heart rate responses to exercise and recovery. Conclusions:This review identifies the most recent standards, and guidelines of EST, which include the acute physiological response of the cardiovascular system to aerobic exercise, the use of EST in evaluation of coronary artery disease, an updated diagnostic and prognostic variables of EST, and reporting of EST.

show abstract

“…Risk stratification is a process to determine detectable characteristics associated with an increased chance of experiencing unwanted outcomes (56). By identifying factors before the occurrence of an event it is possible to develop targeted intervention to mitigate their impact.…”

Section: Risk Stratification and Future Strategiesmentioning

confidence: 99%

The Prevention and Treatment of Dislocation following Total Hip Arthroplasty: Efforts to Date and Future Strategies

Jones

2015

HIP International

View full text Add to dashboard Cite

Dislocation continues as one of the common complications following primary Total Hip Arthroplasty (THA). Considering revision THA, dislocation is also one of the leading causes of failure and the subsequent need for re-revision surgery. This article aims to highlight the efforts to date that surgeons have utilised together with the implants employed to both prevent and treat THA dislocation. A fundamental principal in the management of THA instability is identification of the risk factors for dislocation and these are considered in 5 subgroups; patient factors, surgeon factors, implant design, implant orientation and soft tissue factors. Risk stratification is proposed as a future method of deciding upon best treatment for those patients most at danger of THA dislocation and subsequent continued instability.

show abstract

Cardiac Risk Stratification and Protection

Cited by 6 publications

References 51 publications

Goldman score, but not Detsky or Lee indices, predicts mortality 6 months after hip fracture

Goldman score, but not Detsky or Lee indices, predicts mortality 6 months after hip fracture

The diagnostic value of exercise stress testing for cardiovascular disease is more than just st segment changes: A review

The Prevention and Treatment of Dislocation following Total Hip Arthroplasty: Efforts to Date and Future Strategies

Contact Info

Product

Resources

About