Mostrar el registro sencillo del ítem
Routine measurement of radioisotope left ventricular ejection fraction prior to vascular surgery: Is it worthwhile?
dc.creator | Karkos, C. D. | en |
dc.creator | Baguneid, M. S. | en |
dc.creator | Triposkiadis, F. | en |
dc.creator | Athanasiou, E. | en |
dc.creator | Spirou, P. | en |
dc.date.accessioned | 2015-11-23T10:33:44Z | |
dc.date.available | 2015-11-23T10:33:44Z | |
dc.date.issued | 2004 | |
dc.identifier | 10.1016/j.ejvs.2003.12.016 | |
dc.identifier.issn | 1078-5884 | |
dc.identifier.uri | http://hdl.handle.net/11615/29146 | |
dc.description.abstract | Objective. To determine whether estimation of left ventricular (LV) ejection fraction (EF) by means of multiple gated acquisition (MUGA) scanning could reliably stratify cardiac risk prior to elective major vascular surgery. Methods. A review of the English-language literature. Results and Conclusions. Twenty-two studies enrolling a total of 3096 patients were identified from 1984 to date. Selection bias, blinding of the results, different cut-off limits, and several retrospective studies were some of the problems preventing a comprehensive analysis. The resting LVEF was not found to be a consistent predictor of perioperative ischaemic cardiac events. In the perioperative phase, poor LV function was, mainly, predictive of congestive heart failure, and, in the long-term, of cardiac outcome. The presence of myocardial wall motion abnormalities was also associated with both a higher chance of postoperative cardiac complications and a worse long-term cardiac outcome. Although measurements of LV function seem to play a key role in defining a patient's long-term prognosis, the value of routinely measuring LVEF preoperatively is limited and, therefore, MUGA scanning cannot be recommended as a general screening test. Despite this, it has been widely used for cardiac risk assessment in vascular surgery, and only recently its popularity has started declining. Other tests, such as stress-echocardiography and myocardial perfusion imaging, used selectively in moderate-risk patients can refine prediction of cardiac risk. In the future, gated stress myocardial perfusion scintigraphy, perhaps combined with ANP/BNP plasma level determination, may become a first choice test in preoperative cardiac risk assessment. | en |
dc.source | European Journal of Vascular and Endovascular Surgery | en |
dc.source.uri | <Go to ISI>://WOS:000220924800001 | |
dc.subject | preoperative cardiac assessment | en |
dc.subject | cardiac risk prediction | en |
dc.subject | vascular | en |
dc.subject | surgery | en |
dc.subject | radionuclide ventriculography | en |
dc.subject | multiple gated acquisition | en |
dc.subject | scanning | en |
dc.subject | radioisotope left ventricular ejection fraction | en |
dc.subject | ABDOMINAL AORTIC-SURGERY | en |
dc.subject | CORONARY-ARTERY DISEASE | en |
dc.subject | PERIOPERATIVE | en |
dc.subject | MYOCARDIAL-INFARCTION | en |
dc.subject | CARDIAC RISK ASSESSMENT | en |
dc.subject | ASSOCIATION TASK-FORCE | en |
dc.subject | DIPYRIDAMOLE-THALLIUM SCINTIGRAPHY | en |
dc.subject | PRACTICE GUIDELINES COMMITTEE | en |
dc.subject | MAJOR | en |
dc.subject | NONCARDIAC SURGERY | en |
dc.subject | GATED ACQUISITION SCAN | en |
dc.subject | RADIONUCLIDE ANGIOGRAPHY | en |
dc.subject | Surgery | en |
dc.subject | Peripheral Vascular Disease | en |
dc.title | Routine measurement of radioisotope left ventricular ejection fraction prior to vascular surgery: Is it worthwhile? | en |
dc.type | journalArticle | en |
Ficheros en el ítem
Ficheros | Tamaño | Formato | Ver |
---|---|---|---|
No hay ficheros asociados a este ítem. |