[Preoperative stress testing in patients prior to vascular surgery].

Predoperatsionnoe stress-testirovanie u bol'nykh pered sosudistymi vmeshatel'stvami.
myocardial perfusion scintigraphy perioperative cardiac complications risk stratification stress echocardiography vascular surgery

Journal

Angiologiia i sosudistaia khirurgiia = Angiology and vascular surgery
ISSN: 1027-6661
Titre abrégé: Angiol Sosud Khir
Pays: Russia (Federation)
ID NLM: 9604504

Informations de publication

Date de publication:
2021
Historique:
entrez: 16 9 2021
pubmed: 17 9 2021
medline: 18 9 2021
Statut: ppublish

Résumé

Myocardial infarction is the leading cause of mortality during peripheral artery surgery. The review summarizes the data on cardiac event risk stratification in angiosurgical patients by preoperative stress testing. The prognostic value of positive and negative results is described. Stress testing with physical activity or pharmacological agents is rarely indicated in patients at low risk of major adverse cardiovascular events. Stress testing may be used in patients at increased risk of myocardial infarction (functional activity less than <4 metabolic equivalents), and if the test results should change the approaches to perioperative therapy, anesthesia or the volume of surgical intervention and, in rare situations, to perform coronary revascularization. тестирования. Описано прогностическое значение положительного и отрицательного результатов. Стресс-тестирование с применением физической нагрузки или фармакологических препаратов редко показано пациентам с низким риском возникновения основных неблагоприятных сердечно-сосудистых событий. Стресс-тестирование может быть использовано у пациентов с повышенным риском развития инфаркта миокарда (функциональная активность менее <4 метаболических единиц), а также, если по результатам тестирования следует изменить подходы к периоперационной терапии, анестезии или объему хирургического вмешательства и в редких ситуациях осуществить коронарную реваскуляризацию.

Autres résumés

Type: Publisher (rus)
тестирования. Описано прогностическое значение положительного и отрицательного результатов. Стресс-тестирование с применением физической нагрузки или фармакологических препаратов редко показано пациентам с низким риском возникновения основных неблагоприятных сердечно-сосудистых событий. Стресс-тестирование может быть использовано у пациентов с повышенным риском развития инфаркта миокарда (функциональная активность менее <4 метаболических единиц), а также, если по результатам тестирования следует изменить подходы к периоперационной терапии, анестезии или объему хирургического вмешательства и в редких ситуациях осуществить коронарную реваскуляризацию.

Identifiants

pubmed: 34528601
doi: 10.33529/ANGID2021320
doi:

Types de publication

Journal Article

Langues

rus

Sous-ensembles de citation

IM

Pagination

159-164

Références

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Auteurs

O V Tereshina (OV)

Department of Faculty Surgery, Samara State Medical University of the RF Ministry of Public Health, Samara, Russia.

D A Griaznova (DA)

Department of Faculty Surgery, Samara State Medical University of the RF Ministry of Public Health, Samara, Russia.

A N Vachev (AN)

Department of Faculty Surgery, Samara State Medical University of the RF Ministry of Public Health, Samara, Russia.

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