Journal of Nuclear Cardiology

, Volume 14, Issue 6, pp 885–891 | Cite as

Preoperative cardiac testing before major vascular surgery

  • Sanne E. Hoeks
  • Olaf Schouten
  • Maureen J. van der Vlugt
  • Don Poldermans
Review Article

Conclusions

Preoperative risk assessment with a noninvasive stress test (MPS or DSE) is necessary only in high-risk patients without unnecessary delay for vascular surgery. High-risk patients can easily be selected through the risk score index. Prophylactic revascularization should only be performed in those with unstable coronary artery disease. The optimal perioperative medical treatment, especially tight heart-rate control, is essential for decreasing perioperative and postoperative cardiac risk.

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Copyright information

© American Society of Nuclear Cardiology 2007

Authors and Affiliations

  • Sanne E. Hoeks
    • 1
  • Olaf Schouten
    • 2
  • Maureen J. van der Vlugt
    • 3
  • Don Poldermans
    • 1
  1. 1.Department of AnesthesiologyErasmus Medical CenterRotterdamThe Netherlands
  2. 2.Department of Vascular SurgeryErasmus Medical CenterRotterdamThe Netherlands
  3. 3.Department of CardiologyUniversity Medical Center St. RadboudNijmegenThe Netherlands

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