Risk factors in patients undergoing major nonvascular abdominal operations that predict perioperative myocardial infarction

Gedebou, Tewodros M.; Barr, Steven T.; Hunter, Glenn C.; Sinha, R. K.; Rappaport, William D.; VillaReal, Kara

doi:10.1016/s0002-9610(97)00200-6

Cited by 19 publications

(14 citation statements)

References 15 publications

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“…The results of our study are compatible with the results of earlier published studies that used Goldman's index for assessing the cardiac risk [7][8][9][10][11][12][13]. Goldman …”

Section: Discussionsupporting

confidence: 91%

“…In addition, they established highly significant differences between four stratification groups in the incidence of perioperative minor, major and fatal cardiac complications [6]. Using Goldman's cardiac risk index in the following 30 years, many studies confirmed and validated its clinical significance, and therefore, the index is today widely used in perioperative medicine [7][8][9][10][11][12][13]. One study compared four scoring systems for risk evaluation in noncardiac surgery, among which Goldman's cardiac Table 4.…”

Section: Discussionmentioning

confidence: 99%

“…Studies by Lee Goldman as author [6,16,[19][20][21][22][23][24][25] and coauthor [5,15,17,18,[26][27][28][29][30][31], as well as studies of other authors that used Goldman's CRI [7][8][9][10][11][12][13], found statistical significance of the incidence of all types of perioperative cardiac complications between the four stratification subgroups of patients undergoing noncardiac surgery. The same studies proved that all 9 Goldman's risk factors were independent predictors of poor prognosis.…”

Section: Discussionmentioning

confidence: 99%

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Risk assessment in coronary patients undergoing abdominal nonvascular surgery

Karapandzic¹,

Matić²,

Peško³

et al. 2009

Open Medicine

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AbstractThe aim of our study was to establish that the incidence of perioperative cardiac complications were in direct correlation with level of operative risk in coronary patients undergoing open abdominal nonvascular surgery with general anesthesia. Our prospective observational clinical study was composed of a group of 111 consecutive patients with angiographically-verified coronary artery disease, who were operated on at the University Clinical Center of Serbia. The patients were classified into four stratification subgroups by “Goldman’s Cardiac Risk Index” (CRI) in relation to the incidence of perioperative cardiac complications. Electrocardiography was performed immediately after surgery, on postoperative days 1, 2, 7 and one day before discharge from the hospital. All patients were followed to postoperative day 30. Statistical design was presented by Pearson’s χ2 test and binomial logistic regression. The main result was significant difference between the four stratification subgroups of coronary patients in the incidence of cardiac death up to the 30th postoperative day: I — 0/17 (0.0%) vs. II — 0/40 (0.0%) vs. III — 1/37 (2.7%) vs. IV — 2/17 (11.8%), (p<0.05). We concluded that the incidence of perioperative cardiac complications significantly increased with the degree of Goldman’s CRI. There was significant difference in the incidence of perioperative cardiac complications between the four Goldman’s stratification subgroups.

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“…The results of our study are compatible with the results of earlier published studies that used Goldman's index for assessing the cardiac risk [7][8][9][10][11][12][13]. Goldman …”

Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Risk assessment in coronary patients undergoing abdominal nonvascular surgery

Karapandzic¹,

Matić²,

Peško³

et al. 2009

Open Medicine

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“…El tabaco afecta la oferta y el consumo de oxígeno al miocardio durante el perioperatorio, debido al aumento de la resistencia vascular coronaria (vasoconstricción y aumento de la agregación plaquetaria) y de los niveles elevados de carboxihemoglobina 35 . Algunos investigadores demostraron una asociación entre tabaquismo y complicaciones cardiacas postoperatorias, pero siempre sin mucha consistencia 36,37 .…”

Section: Discussionunclassified

Associação independente do tabagismo aos eventos cardíacos pós-operatórios e à mortalidade em 30 dias

Sakuma

Machado

Martins

2010

Arq. Bras. Cardiol.

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“…ARTUSIO (1964) Die perioperative Abschatzung des Infarktrisikos ist auch heute noch schwierig (s. MAMODE et al 1995). Bei groBeren nichtvaskularen abdomineHen Operationen ist es bei Patienten in schlechtem Zustand, mit Herzinsuffizienz, Rhythmusstorungen, Rauchen und bei NotfaHoperationen erhoht (GEDEBOU et al 1997;GOLD-MAN et al 1977).…”

Section: Perioperative Kardiale Mortalitatunclassified