Association of Perioperative Myocardial Ischemia with Cardiac Morbidity and Mortality in Men Undergoing Noncardiac Surgery
OF the 25 million patients who undergo noncardiac surgery in the United States each year, approximately 3 million have or are at risk of having coronary artery disease. 1 Despite recent advances in the diagnosis and therapy of coronary artery disease, approximately 50,000 of these patients have a pe...
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| Veröffentlicht in: | The New England journal of medicine 1990-12, Vol.323 (26), p.1781-1788 |
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| container_title | The New England journal of medicine |
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| creator | Mangano, Dennis T Browner, Warren S Hollenberg, Milton London, Martin J Tubau, Julio F Tateo, Ida M |
| description | OF the 25 million patients who undergo noncardiac surgery in the United States each year, approximately 3 million have or are at risk of having coronary artery disease.
1
Despite recent advances in the diagnosis and therapy of coronary artery disease, approximately 50,000 of these patients have a perioperative myocardial infarction, and more than half the 40,000 deaths after surgery are caused by cardiac events.
1
,
2
For perioperative myocardial infarction alone, health care costs exceed $500 million per year.
3
Determining the risk factors for adverse postoperative cardiac outcomes would allow us to develop preventive strategies and allocate health care resources efficiently.
Previous . . . |
| doi_str_mv | 10.1056/NEJM199012273232601 |
| format | Article |
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1
Despite recent advances in the diagnosis and therapy of coronary artery disease, approximately 50,000 of these patients have a perioperative myocardial infarction, and more than half the 40,000 deaths after surgery are caused by cardiac events.
1
,
2
For perioperative myocardial infarction alone, health care costs exceed $500 million per year.
3
Determining the risk factors for adverse postoperative cardiac outcomes would allow us to develop preventive strategies and allocate health care resources efficiently.
Previous . . .</description><identifier>ISSN: 0028-4793</identifier><identifier>EISSN: 1533-4406</identifier><identifier>DOI: 10.1056/NEJM199012273232601</identifier><identifier>CODEN: NEJMAG</identifier><language>eng</language><publisher>Boston: Massachusetts Medical Society</publisher><subject>Anesthesia ; Angina ; Angina pectoris ; Cardiovascular disease ; Classification ; Congestive heart failure ; Coronary artery ; Coronary vessels ; Electrocardiography ; Health risk assessment ; Heart attacks ; Heart failure ; Ischemia ; Morbidity ; Mortality ; Multivariate analysis ; Myocardial infarction ; Myocardial ischemia ; Narcotics ; Risk groups ; Surgery ; Surgical outcomes ; Tachycardia ; Vascular surgery ; Ventricle ; Veterans</subject><ispartof>The New England journal of medicine, 1990-12, Vol.323 (26), p.1781-1788</ispartof><rights>Copyright Massachusetts Medical Society Dec 27, 1990</rights><rights>Copyright Massachusetts Medical Society, Publishing Division Dec 27, 1990</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c383t-581af49b299f6460be087f3f9e4746a0cdd7aabd130e3c5c117448ee6f065f443</citedby><cites>FETCH-LOGICAL-c383t-581af49b299f6460be087f3f9e4746a0cdd7aabd130e3c5c117448ee6f065f443</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.nejm.org/doi/pdf/10.1056/NEJM199012273232601$$EPDF$$P50$$Gmms$$H</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/223953433?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,780,784,2759,2760,26103,27924,27925,52382,54064,64385,64389,72469</link.rule.ids></links><search><creatorcontrib>Mangano, Dennis T</creatorcontrib><creatorcontrib>Browner, Warren S</creatorcontrib><creatorcontrib>Hollenberg, Milton</creatorcontrib><creatorcontrib>London, Martin J</creatorcontrib><creatorcontrib>Tubau, Julio F</creatorcontrib><creatorcontrib>Tateo, Ida M</creatorcontrib><creatorcontrib>the Study of Perioperative Ischemia Research Group</creatorcontrib><title>Association of Perioperative Myocardial Ischemia with Cardiac Morbidity and Mortality in Men Undergoing Noncardiac Surgery</title><title>The New England journal of medicine</title><description>OF the 25 million patients who undergo noncardiac surgery in the United States each year, approximately 3 million have or are at risk of having coronary artery disease.
1
Despite recent advances in the diagnosis and therapy of coronary artery disease, approximately 50,000 of these patients have a perioperative myocardial infarction, and more than half the 40,000 deaths after surgery are caused by cardiac events.
1
,
2
For perioperative myocardial infarction alone, health care costs exceed $500 million per year.
3
Determining the risk factors for adverse postoperative cardiac outcomes would allow us to develop preventive strategies and allocate health care resources efficiently.
Previous . . .</description><subject>Anesthesia</subject><subject>Angina</subject><subject>Angina pectoris</subject><subject>Cardiovascular disease</subject><subject>Classification</subject><subject>Congestive heart failure</subject><subject>Coronary artery</subject><subject>Coronary vessels</subject><subject>Electrocardiography</subject><subject>Health risk assessment</subject><subject>Heart attacks</subject><subject>Heart failure</subject><subject>Ischemia</subject><subject>Morbidity</subject><subject>Mortality</subject><subject>Multivariate analysis</subject><subject>Myocardial infarction</subject><subject>Myocardial ischemia</subject><subject>Narcotics</subject><subject>Risk groups</subject><subject>Surgery</subject><subject>Surgical outcomes</subject><subject>Tachycardia</subject><subject>Vascular surgery</subject><subject>Ventricle</subject><subject>Veterans</subject><issn>0028-4793</issn><issn>1533-4406</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1990</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp9kU9PAjEQxRujiYh-Ai-NHs1q2-n-6ZEQVAygiXLelG4LJWyL7aLBT-8iHNXJJJP38nszh0HokpJbStLsbjJ4GlMhCGUsBwYsI_QIdWgKkHBOsmPUIYQVCc8FnKKzGJekLcpFB331YvTKysZ6h73BLzpYv9ahNT40Hm-9kqGycoWHUS10bSX-tM0C939chcc-zGxlmy2WrtqpRq52yjo81g5PXaXD3Fs3xxPv1CH0uglzHbbn6MTIVdQXh9lF0_vBW_8xGT0_DPu9UaKggCZJCyoNFzMmhMl4RmaaFLkBIzTPeSaJqqpcyllFgWhQqaI057zQOjMkSw3n0EVX-73r4N83Ojbl0m-Ca0-WjIFIgQO00PVfEBUFcMbbbinYUyr4GIM25TrYWoZtSUm5-0T5yyfa1M0-VdexdHpZ_0t_AxBniEg</recordid><startdate>19901227</startdate><enddate>19901227</enddate><creator>Mangano, Dennis T</creator><creator>Browner, Warren S</creator><creator>Hollenberg, Milton</creator><creator>London, Martin J</creator><creator>Tubau, Julio F</creator><creator>Tateo, Ida M</creator><general>Massachusetts Medical Society</general><scope>AAYXX</scope><scope>CITATION</scope><scope>0TZ</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>8AO</scope><scope>8C1</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AN0</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BEC</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HCIFZ</scope><scope>K0Y</scope><scope>LK8</scope><scope>M0R</scope><scope>M0T</scope><scope>M1P</scope><scope>M2M</scope><scope>M2O</scope><scope>M2P</scope><scope>M7P</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope></search><sort><creationdate>19901227</creationdate><title>Association of Perioperative Myocardial Ischemia with Cardiac Morbidity and Mortality in Men Undergoing Noncardiac Surgery</title><author>Mangano, Dennis T ; 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1
Despite recent advances in the diagnosis and therapy of coronary artery disease, approximately 50,000 of these patients have a perioperative myocardial infarction, and more than half the 40,000 deaths after surgery are caused by cardiac events.
1
,
2
For perioperative myocardial infarction alone, health care costs exceed $500 million per year.
3
Determining the risk factors for adverse postoperative cardiac outcomes would allow us to develop preventive strategies and allocate health care resources efficiently.
Previous . . .</abstract><cop>Boston</cop><pub>Massachusetts Medical Society</pub><doi>10.1056/NEJM199012273232601</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Anesthesia Angina Angina pectoris Cardiovascular disease Classification Congestive heart failure Coronary artery Coronary vessels Electrocardiography Health risk assessment Heart attacks Heart failure Ischemia Morbidity Mortality Multivariate analysis Myocardial infarction Myocardial ischemia Narcotics Risk groups Surgery Surgical outcomes Tachycardia Vascular surgery Ventricle Veterans |
| title | Association of Perioperative Myocardial Ischemia with Cardiac Morbidity and Mortality in Men Undergoing Noncardiac Surgery |
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