Table of Contents Print a PDF References Figures & Tables
<Previous Next>


EAGLE ET AL., PERIOPERATIVE CARDIOVASCULAR EVALUATION FOR NONCARDIAC SURGERY UPDATE
http://www.acc.org/clinical/guidelines/perio/update/periupdate_index.htm

ACC/AHA Guideline Update for Perioperative Cardiovascular Evaluation for Noncardiac Surgery

A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee to Update the 1996 Guidelines on Perioperative Cardiovascular Evaluation for Noncardiac Surgery)

(Printer-friendly version)

Table 9. Predictive Value of Preoperative ST-Segment Changes Detected by Ambulatory Monitoring for Perioperative Myocardial Infarction and Cardiac Death After Major Vascular Surgery

Author

n

Patients With Abnormal

Test (%)

Criteria for Abnormal

Test

Perioperative Events

Event

Comments

Positive*

Test

Negative

Test

Raby 1989 (51)

176

18

A

10% (3/32)

1% (1/144)

D,M

24 to 48 h during ambulation

Pasternack 1989 (162)

200

39

A

9% (7/78)

2% (2/122)

D,M

Mangano 1990 (19)

144

18

A,B

4% (1/26)

4% (5/118)

D,M

Immediately preoperatively

Fleisher 1992 (158)

67

24

A,B

13% (2/16)

4% (2/51)

D,M

Immediately preoperatively

McPhail 1993 (160)

100

34

A

15% (5/34)

6% (4/66)

D,M

Kirwin 1993 (159)

96

9

A

11% (1/9)

16% (14/87)

D,M

Definition of MI based on enzymes only

Fleisher 1995 (163)

86

23

A,B

10% (2/20)

3% (2/66)

D,M

Quantitative monitoring not predictive

A indicates greater than or equal to 1 mm ST-segment depression; B, greater than or equal to 2 mm ST-segment elevation; D, death; MI, myocardial infarction.

*Positive predictive value for postoperative cardiac events.

 

Copyright © 2002 by the American College of Cardiology and American Heart Association, Inc.

ADVERTISEMENT








Back to Top | | Copyright © 2008 American College of Cardiology
ACCInTouch Facebook Twitter LinkedIn
Heart House | 2400 N Street, NW | Washington, DC 20037