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[Evaluation of preoperative cardiac function for orthopedic surgery by chest CT and coronary arteriogram]

Yoshiaki Iwashita1, Kiyoharu Sakurai, Tohru Kanaya

  • 1Department of Cardiology, Tohoku Central Hospital, Yamagata 990-8510.

Masui. the Japanese Journal of Anesthesiology
|September 21, 2012
PubMed

Insights

Preoperative chest CT and coronary arteriogram effectively assess cardiac risk in spinal cord disease patients, preventing unnecessary surgeries. This cardiac risk evaluation aids in optimizing patient care and surgical planning.

Area of Science:

  • Cardiology
  • Radiology
  • Neurosurgery

Context:

  • Patients with spinal cord diseases present challenges for traditional stress electrocardiogram testing.
  • Evaluating preoperative cardiac risk in this population is difficult.
  • Chest CT and coronary arteriography offer alternative diagnostic pathways.

Purpose:

  • To assess the utility of preoperative chest CT and coronary arteriography in evaluating cardiac risk for patients with spinal cord diseases.
  • To determine the impact of identifying coronary artery calcification on surgical scheduling.

Summary:

  • A study evaluated 158 patients with spinal cord diseases undergoing coronary arteriogram.
  • 17.1% of operations were postponed or cancelled due to cardiac findings.
  • Even asymptomatic patients with coronary calcification experienced surgical delays.

Impact:

  • Preoperative chest CT and coronary arteriography are valuable tools for assessing preoperative cardiac function in patients with spinal cord diseases.
  • These imaging modalities help prevent surgical complications by identifying cardiac risks.
  • The findings support integrating advanced cardiac imaging into the preoperative workup for this patient group.
Abstract

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