Abstract

DIAZ HERNANDEZ, Orestes  and  GONZALEZ VEGA, Humberto. Impacto del riesgo cardíaco sobre la Aneurismectomía. Rev Cubana cir [online]. 2000, vol.39, n.1, pp. 52-60. ISSN 1561-2945.

A cardiological analysis of 100 patients whe underwent elective surgery due to infrarenal abdominal aortic aneurysm was made. 5 methods were used to this end: the original and modified Goldman´s cardiac resk index, Eagle´s coronary markers, the indications by levels recommended by Hollier and Cooperman´s equation. Ischaemic heart disease was detected in 59 % of the patients. 43 % of them had history of myocardial infarction, 33 % of stable angina under drug treatment, 6 % of congestive heart failure with digitalis treatment and 11 % had a nonsinusal rate detected in the EKG. Among those suffering from schemic heart disease there was a long term survival of 80 % at the lst and 2nd year, 72 % at the 5 th year, and 35 % at the 10th and 13th year. A simple and modified algorithm of cardiological assessment was proposed for patients with abdominal aortic aneurysm

Keywords : AORTIC ANEURYSM, ABDOMINAL [surgery]; RISK FACTORS; MYOCARDIAL ISCHEMIA [mortality].

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