Cardiovascular Risk Assessment of Atherosclerotic Arterial Occlusive Diseases.
- Author:
Ho Yeun KIM
1
;
Sun Jin PARK
;
Jung Yun SONG
;
Suck Hwan KOH
;
Sung Hwa HONG
;
Su Myung OH
;
Ho Chul PARK
Author Information
1. Department of Surgery, College of Medicine, Kyung Hee University, Seoul, Korea. miumiup1@hotmail.com
- Publication Type:Original Article
- Keywords:
Cardiovascular risk assessment;
Atherosclerotic arterial occlusive diseases;
ACC/AHA guidelines
- MeSH:
Academic Medical Centers;
Arterial Occlusive Diseases*;
Heart;
Humans;
Mortality;
Preoperative Care;
Risk Assessment*
- From:Journal of the Korean Society for Vascular Surgery
2007;23(1):6-10
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: Cardiovascular risk assessment of atherosclerotic arterial occlusive diseases is a critical component of preoperative care. Many indexes have been developed to help identify patients at high risk for perioperative cardiac events. We sought to study guideline implementation and clinical outcomes in cardiovascular risk assessment. METHOD: We studied 75 patients who underwent preoperative cardiac risk assessment between 2003 and 2006 at the Kyung Hee University Medical Center. The American College of Cardiology/American Heart Association (ACC/AHA) guidelines were used to stratify the patients. RESULT: The mean age of patients was 67.9 years. When stratified into risk categories according to the ACC/AHA guidelines, 2 patients was high risk group, 51 intermediate risk group, and 22 low risk group. There were 3 perioperative cardiac complications (4.0%) including 2 mortalities (2.7%). There was a trend toward a higher frequency of cardiac complications when there was discordance with the ACC/AHA guidelines, but there was no significant difference (discordance 7.1%, concordance 0%, P=0.251). The guidelines recommended cardiac testing for 44 patients, but 12 patients (27.3%) were tested. The guidelines did not recommend for 31 patients, but additional cardiac tests were done for 10 patients (32.3%) and mainly associated with low risk group. CONCLUSION: Differences between clinician practice and guideline recommendations existed and did not result in a higher frequency of cardiac complications.
