Prophylactic Coronary Angiography in Medium- to High-Risk Patients Undergoing Major Vascular Surgery - Prophylactic Coronary Angiography in Medium- to High-Risk Patients Undergoing Major Vascular Surgery

Description:

Two recent trials, CARP and DECREASE-V, noted that routine coronary artery revascularization before vascular surgery is not associated with improved outcomes. Accordingly, current American College of Cardiology/American Heart Association guidelines recommend noninvasive testing for patients undergoing vascular surgery, only if two or more risk factors, as assessed by Lee’s revised cardiac risk index (RCRI), are present.

Given that vascular surgery patients continue to have a high rate of...