Prognostic capabilities of coronary computed tomographic angiography before non-cardiac surgery: prospective cohort study

Objectives To determine if coronary computed tomographic angiography enhances prediction of perioperative risk in patients before non-cardiac surgery and to assess the preoperative coronary anatomy in patients who experience a myocardial infarction after non-cardiac surgery.Design Prospective cohort...

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Bibliographic Details
Published in:BMJ (Online) 2015-04, Vol.350 (apr22 15), p.h1907-h1907
Main Authors: Sheth, Tej, Chan, Matthew, Butler, Craig, Chow, Benjamin, Tandon, Vikas, Nagele, Peter, Mitha, Ayesha, Mrkobrada, Marko, Szczeklik, Wojciech, Faridah, Yang, Biccard, Bruce, Stewart, Lori K, Heels-Ansdell, Diane, Devereaux, P J
Format: Article
Language:English
Subjects:
Aged
Cardiovascular disease
Cohort Studies
Coronary Angiography
Coronary vessels
Death, Sudden, Cardiac - etiology
Death, Sudden, Cardiac - prevention & control
Female
Heart attacks
Heart rate
Heart surgery
Humans
Male
Medical imaging
Middle Aged
Mortality
Myocardial Infarction - etiology
Myocardial Infarction - prevention & control
Postoperative Complications - etiology
Postoperative Complications - prevention & control
Practice Guidelines as Topic
Predictive Value of Tests
Preoperative Care
Prognosis
Prospective Studies
Risk Assessment
Risk Factors
Surgical Procedures, Operative
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Summary:Objectives To determine if coronary computed tomographic angiography enhances prediction of perioperative risk in patients before non-cardiac surgery and to assess the preoperative coronary anatomy in patients who experience a myocardial infarction after non-cardiac surgery.Design Prospective cohort study.Setting 12 centers in eight countries.Participants 955 patients with, or at risk of, atherosclerotic disease who underwent non-cardiac surgery.Interventions Coronary computed tomographic angiography was performed preoperatively; clinicians were blinded to the results unless left main disease was suspected. Results were classified as normal, non-obstructive (
ISSN:0959-8138
1756-1833
1756-1833
DOI:10.1136/bmj.h1907