Critical Care Medicine

Skip Navigation LinksHome > September 2006 - Volume 34 - Issue 9 > Vascular surgery critical care: Perioperative cardiac optimi...
Critical Care Medicine:
doi: 10.1097/01.CCM.0000231885.74567.4F
Scientific Reviews

Vascular surgery critical care: Perioperative cardiac optimization to improve survival

Venkataraman, Ramesh MD

Collapse Box


Objective: To review the literature on perioperative cardiac management of patients who are scheduled to undergo vascular surgery.

Data Source: MEDLINE- and PubMed-based review of literature published from 1965 to 2005.

Conclusions: Perioperative cardiac events (myocardial infarction, heart failure) remain the leading cause of morbidity and mortality in vascular surgery patients. Existing guidelines allow physicians to cost-effectively streamline preoperative cardiac risk assessment and stratification. Perioperative optimization of volume status and cardiac function and the routine use of perioperative beta-blockers can significantly improve outcomes after major vascular surgery. Perioperative addition of statins to beta-blockers in high-risk patients undergoing vascular surgery merits further evaluation. Preoperative coronary revascularization should be restricted to patients with unstable cardiac symptoms.

© 2006 by the Society of Critical Care Medicine and Lippincott Williams & Wilkins

Article Tools


Article Level Metrics

Search for Similar Articles
You may search for similar articles that contain these same keywords or you may modify the keyword list to augment your search.