prophylactic coronary revascularization



"Clinicians should be reassured that patients with apparently stable
coronary artery disease, who are appropriately treated with
ß-blockers, antiplatelet agents, angiotensin-converting-enzyme
inhibitors and statins, do not require preoperative revascularization.
Despite the plethora of coronary screening tests available for such
patients, physicians should also be reassured that their clinical
judgement may still be the most important tool in determining stability
of coronary artery disease and which, if any, patients must be screened
and by what method."

http://www.cmaj.ca/cgi/content/full/172/9/1180

CMAJ · April 26, 2005; 172 (9). doi:10.1503/cmaj.050289.
© 2005 CMA Media Inc. or its licensors

Does coronary revascularization before major vascular surgery decrease
mortality?
Mark Otto Baerlocher and Allan S. Detsky

Division of General Internal Medicine, University of Toronto, Toronto,
Ont.

McFalls EO, Ward HB, Moritz TE, Goldman S, Krupski WC, Littooy F, et
al. Coronary-artery revascularization before elective major vascular
surgery.
N Engl J Med 2004;351(27):2795-804.

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