Does Knowledge of Asymptomatic Coronary Ischemia Improve Outcomes After Major Vascular Surgery?

Identifying and treating silent myocardial ischemia was associated with decreased cardiovascular mortality and fewer adverse cardiovascular events at 5 years.

Poor long-term survival after peripheral vascular surgery often is due to concurrent coronary artery disease (CAD), which may be silent — and consequently underdiagnosed and undertreated. Is knowledge of asymptomatic coronary ischemia beneficial in such patients?

To examine this question, researchers conducted a single-center observational study among 522 patients (mean age, 67) without known coronary artery disease who were scheduled for elective vascular surgery (mainly lower-extremity or carotid). Half of the patients underwent preoperative computed tomography (CT) angiography with fractional flow reserve (FFR_CT) and half did not; assignment was determined by CT availability and not randomized. FFR_CT results were used to help inform coron…

Reviewing Authors

Shea E. Hogan, MD, MSCS, FACC, FSCAI, FSVM

Disclosures

Editorial BoardsVascular Medicine

Shea E. Hogan, MD, MSCS, FACC, FSCAI, FSVM

Disclosures

Editorial BoardsVascular Medicine

Allan S. Brett, MD

Disclosures

Nothing to disclose

Allan S. Brett, MD

Disclosures

Nothing to disclose

Does Knowledge of Asymptomatic Coronary Ischemia Improve Outcomes After Major Vascular Surgery?

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Reviewing Authors