Dobutamine stress echocardiography in preoperative and long-term postoperative risk assessment of elderly patients

Milind R. Dhond, Than T. Nguyen, Raju Sabapathy, Rob A. Patrawala, William J Bommer

Research output: Contribution to journalArticle

5 Scopus citations

Abstract

The authors reviewed all negative preoperative dobutamine stress echocardiograms (DSEs) performed over a 3-year period to determine the value of negative DSE for preoperative risk assessment in elderly patients. All patients with negative DSE performed for preoperative evaluation were followed. Cardiac event rates during and after the operative procedure were determined for hard end points (nonfatal myocardial infarction, cardiac death) and soft end points (emergency room visits, hospitalization for unstable angina, congestive heart failure, coronary angioplasty, coronary artery bypass graft surgery). Results noted that DSEs were negative for ischemia in 82 preoperative evaluations. Group 1 (age ≥65; n=41) had hard and soft event rates per patient/year of 0.97% and 7.3%, while group 2 (age <65; n=41) had hard and soft event rates per patient/year of 0.81% and 10.8%. There were no significant differences in event rates between the two groups (p=NS). In conclusion, the authors found that negative DSEs predict low cardiac event rates in elderly patients during the perioperative and long-term postoperative periods, which are not significantly different from the cardiac event rates in a younger cohort.

Original languageEnglish (US)
JournalAmerican Journal of Geriatric Cardiology
Volume12
Issue number2
DOIs
StatePublished - Mar 2003

ASJC Scopus subject areas

  • Geriatrics and Gerontology
  • Cardiology and Cardiovascular Medicine

Fingerprint Dive into the research topics of 'Dobutamine stress echocardiography in preoperative and long-term postoperative risk assessment of elderly patients'. Together they form a unique fingerprint.

  • Cite this