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Perioperative Cardiac Evaluation and Management for Vascular Surgery

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Peripheral Arterial Disease

Part of the book series: Contemporary Cardiology ((CONCARD))

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Abstract

Cardiovascular complications are the leading cause of morbidity and mortality following major vascular surgery, with rates estimated as high as 30% (1). These complications include acute coronary syndromes, unstable angina or myocardial infarction (MI), pulmonary edema, and cardiac death. The ominous feature of a perioperative MI is that as many as 30–50% are fatal (2). In patients with peripheral artery disease (PAD), rates of perioperative cardiac death are twice that of the general surgical population (3,4). This is not surprising given the systemic nature of atherosclerosis and the increased prevalence of coexistent coronary artery disease (CAD), reported in as many as 70% of patients with PAD (5).

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  1. Robert T. Eberhardt MD
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  1. Department of Medicine, Boston University Medical Center, Boston, MA, USA

    Jay D. Coffman MD  & Robert T. Eberhardt MD  & 

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Eberhardt, R.T., Nedeau, A. (2003). Perioperative Cardiac Evaluation and Management for Vascular Surgery. In: Coffman, J.D., Eberhardt, R.T. (eds) Peripheral Arterial Disease. Contemporary Cardiology. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-59259-331-6_14

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