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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
2
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pubmed:dateCreated |
1990-10-2
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pubmed:abstractText |
To determine if exercise electrocardiograms (EECGs) are justified in routine pre-operative screening for cardiac disease, we performed a prospective study on 77 consecutive patients scheduled for infrarenal aortic reconstructive surgery. All patients had EECGs performed 1-12 days prior to elective surgery. In addition to routine clinical assessment of cardiac disease, all patients were allocated a Goldman risk score. Four patients developed major post-operative cardiac complications of whom one patient died. EECG was not a significant predictor of outcome, as 48.6% of all EECGs were inadequate due to non-completion of the exercise protocol. Significant pre-operative predictors of outcome were a history of angina (p less than 0.01), myocardial infarction (p less than 0.001), congestive cardiac failure (p less than 0.0001), or a Goldman score of greater than 14 (p less than 0.05). By multivariate analysis of the pre-operative risk factors a history of congestive cardiac failure was found to be the most significant independent predictor of post-operative cardiac complications.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:month |
Jun
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pubmed:issn |
0332-3102
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
83
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
65-6
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pubmed:dateRevised |
2009-10-26
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pubmed:meshHeading |
pubmed-meshheading:2391213-Adult,
pubmed-meshheading:2391213-Aged,
pubmed-meshheading:2391213-Aorta, Abdominal,
pubmed-meshheading:2391213-Exercise Test,
pubmed-meshheading:2391213-Female,
pubmed-meshheading:2391213-Heart Failure,
pubmed-meshheading:2391213-Humans,
pubmed-meshheading:2391213-Male,
pubmed-meshheading:2391213-Middle Aged,
pubmed-meshheading:2391213-Multivariate Analysis,
pubmed-meshheading:2391213-Postoperative Complications,
pubmed-meshheading:2391213-Predictive Value of Tests,
pubmed-meshheading:2391213-Risk Factors
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pubmed:year |
1990
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pubmed:articleTitle |
Failure of bicycle exercise electrocardiograms to predict major post-operative cardiac complications in patients undergoing abdominal aortic surgery.
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pubmed:affiliation |
Department of Vascular Surgery and Cardiology, Wellesley Hospital, Toronto, Ontario, Canada.
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pubmed:publicationType |
Journal Article
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