TY - JOUR
T1 - Aortic stenosis
T2 - An underestimated risk factor for perioperative complications in patients undergoing noncardiac surgery
AU - Kertai, Miklos D.
AU - Bountioukos, Manolis
AU - Boersma, Eric
AU - Bax, Jeroen J.
AU - Thomson, Ian R.
AU - Sozzi, Fabiola
AU - Klein, Jan
AU - Roelandt, Jos R T C
AU - Poldermans, Don
PY - 2004/1/1
Y1 - 2004/1/1
N2 - PURPOSE: To determine the incidence of perioperative events in patients with aortic stenosis undergoing noncardiac surgery. METHODS: We studied 108 patients with moderate (mean gradient, 25 to 49 mm Hg) or severe (mean gradient, ≥50 mm Hg) aortic stenosis and 216 controls who underwent noncardiac surgery between 1991 and 2000 at Erasmus Medical Center. Controls were selected based on calendar year and type of surgery. Details of clinical risk factors, type of surgery, and perioperative management were retrieved from medical records. The main outcome measure was the composite of perioperative mortality and nonfatal myocardial infarction. RESULTS: There was a significantly higher incidence of the composite endpoint in patients with aortic stenosis than in patients without aortic stenosis (14% [15/108] vs. 2% [4/216], P
AB - PURPOSE: To determine the incidence of perioperative events in patients with aortic stenosis undergoing noncardiac surgery. METHODS: We studied 108 patients with moderate (mean gradient, 25 to 49 mm Hg) or severe (mean gradient, ≥50 mm Hg) aortic stenosis and 216 controls who underwent noncardiac surgery between 1991 and 2000 at Erasmus Medical Center. Controls were selected based on calendar year and type of surgery. Details of clinical risk factors, type of surgery, and perioperative management were retrieved from medical records. The main outcome measure was the composite of perioperative mortality and nonfatal myocardial infarction. RESULTS: There was a significantly higher incidence of the composite endpoint in patients with aortic stenosis than in patients without aortic stenosis (14% [15/108] vs. 2% [4/216], P
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U2 - 10.1016/j.amjmed.2003.07.012
DO - 10.1016/j.amjmed.2003.07.012
M3 - Article
C2 - 14706659
AN - SCOPUS:0348230979
VL - 116
SP - 8
EP - 13
JO - American Journal of Medicine
JF - American Journal of Medicine
SN - 0002-9343
IS - 1
ER -