Autors:

CiteWeb id: 20100000129

CiteWeb score: 2687

DOI: 10.1056/NEJM197710202971601

To determine which preoperative factors might affect the development of cardiac complications after major noncardiac operations, we prospectively studied 1001 patients over 40 years of age. By multivariate discriminant analysis, we identified nine independent significant correlates of life-threatening and fatal cardiac complications: preoperative third heart sound or jugular venous distention; myocardial infarction in the preceding six months; more than five premature ventricular contractions per minute documented at any time before operation; rhythm other than sinus or presence of premature atrial contractions on preoperative electrocardiogram; age over 70 years; intraperitoneal, intrathoracic or aortic operation; emergency operation; important valvular aortic stenosis; and poor general medical condition. Patients could be separated into four classes of significantly different risk. Ten of the 19 postoperative cardiac fatalities occurred in the 18 patients at highest risk. If validated by prospe...

The publication "Multifactorial Index of Cardiac Risk in Noncardiac Surgical Procedures" is placed in the Top 10000 of the best publications in CiteWeb. Also in the category Medicine it is included to the Top 1000. Additionally, the publicaiton "Multifactorial Index of Cardiac Risk in Noncardiac Surgical Procedures" is placed in the Top 1000 among other scientific works published in 2010.
Links to full text of the publication: