Aortic stenosis: An underestimated risk factor for perioperative complications in patients undergoing noncardiac surgery

Miklos D. Kertai; Manolis Bountioukos; Eric Boersma; Jeroen J. Bax; Ian R. Thomson; Fabiola Sozzi; Jan Klein; Jos R T C Roelandt; Don Poldermans

doi:10.1016/j.amjmed.2003.07.012

Aortic stenosis: An underestimated risk factor for perioperative complications in patients undergoing noncardiac surgery

Miklos D. Kertai, Manolis Bountioukos, Eric Boersma, Jeroen J. Bax, Ian R. Thomson, Fabiola Sozzi, Jan Klein, Jos R T C Roelandt, Don Poldermans

Fondazione IRCCS Ca' Granda- Ospedale Maggiore Policlinico

Research output: Contribution to journal › Article

Abstract

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

Original language	English
Pages (from-to)	8-13
Number of pages	6
Journal	American Journal of Medicine
Volume	116
Issue number	1
DOIs	https://doi.org/10.1016/j.amjmed.2003.07.012
Publication status	Published - Jan 1 2004

ASJC Scopus subject areas

Nursing(all)

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Kertai, M. D., Bountioukos, M., Boersma, E., Bax, J. J., Thomson, I. R., Sozzi, F., Klein, J., Roelandt, J. R. T. C., & Poldermans, D. (2004). Aortic stenosis: An underestimated risk factor for perioperative complications in patients undergoing noncardiac surgery. American Journal of Medicine, 116(1), 8-13. https://doi.org/10.1016/j.amjmed.2003.07.012

Aortic stenosis : An underestimated risk factor for perioperative complications in patients undergoing noncardiac surgery. / Kertai, Miklos D.; Bountioukos, Manolis; Boersma, Eric; Bax, Jeroen J.; Thomson, Ian R.; Sozzi, Fabiola; Klein, Jan; Roelandt, Jos R T C; Poldermans, Don.

In: American Journal of Medicine, Vol. 116, No. 1, 01.01.2004, p. 8-13.

Research output: Contribution to journal › Article

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abstract = "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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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

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