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Articles

Title: Risk stratification before major vascular procedures

Author:
Wojciech Braksator, Joanna Syska-Sumińska, Artut Mamcarz, Karol Wrzosek, Marek Kuch, Mirosław Dłużniewski
Type:
Review articles
Language:
PL
Journal:
Polish Journal of Cardiology
Year:
2002
Volume:
4
Number:
3
Start page:
267
Final page:
272
ISSN:
1507-5540
Keywords:
non-cardiosurgical vascular procedurę, operative risk stratification, functional capacity, dobutamine stress echocardiography
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Vascular diseases have become a major problem both in Europę and North America. Rapid development of diagnostic techniques results in increased number of non-cardiosurgical vascular procedures. Non-cardiosurgical vascular procedures (NVP) are performed mainly in the elderly patients (over 60 years old). In year 2025 this population will increase up to 225 mln. Cardiac complications are the major reason of morbidity and mortality in this group of patients. The prevalence of these complications is close to 10% and 30-days mortality in NVP group is twice as high as population undergoing generał surgery (5-6%), 5-years mortality is close to 45%. These cardiac complications are mainly caused by ischemic heart disease. 50-70% of patients in this group suffer from ische-mic heart disease. Risk stratification protocols have often been modified during last 15 years. The latest stan-dards of American medical societies recomend detailed clinical asessment before NVP in some cases with additional specialized testes: dobutamine echocardiography and coronary angiography.