Arquivos brasileiros de cardiologia · 1993
[Preoperative cardiological evaluation. Report of 255 cases].
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Mansur A J, Leme F A, Nastari L, da Luz P L, Bellotti G
Аннотация
PURPOSE: To study preoperative cardiological consultations in a cardiology referral center in a general hospital.
METHODS: Two hundred and fifty five patients were studied between June and December 1989; the ages ranged between 16 and 82 (mean 55) years, 120 (47%) were male and 135 (53%) female. A questionnaire was applied by the physicians during consultation.
RESULTS: Main symptoms were thoracic pain in 30 (11.8%) cases, dyspnea in 57 (22.4%), palpitations in 13 (5.1%). Symptoms of cardiac disease were absent in 141 (55.3%) patients. On physical examination arterial hypertension was detected in 75 (29.4%) cases and a cardiac murmur in 21 (8.2%). Diagnosis of coronary artery disease was made in 30 (11.8%) cases--13 (5.1%) with history of previous myocardial infarction, aortic valve stenosis in 5 (1.9%), other valvular heart diseases in 14 (5.5%), cardiac arrhythmias in 11 (4.3%). Heart disease was absent in 90 (35.4%) patients. Sixty-five (25.5%) patients were on drug therapy for heart diseases. Consultations were obtained for patients that had been already admitted to the hospital in 171 (67%) cases. Cardiological follow up was recommended to 150 (58.8%) patients. Seven patients died; the cause of the death was related to the primary disease. Contraindication for surgery imposed by cardiological evaluation did not occur.
CONCLUSION: In this study, patients with heart disease tolerated the surgical procedures. Preoperative cardiological evaluation added useful data for postoperative care and also for long term follow-up of the patients.
METHODS: Two hundred and fifty five patients were studied between June and December 1989; the ages ranged between 16 and 82 (mean 55) years, 120 (47%) were male and 135 (53%) female. A questionnaire was applied by the physicians during consultation.
RESULTS: Main symptoms were thoracic pain in 30 (11.8%) cases, dyspnea in 57 (22.4%), palpitations in 13 (5.1%). Symptoms of cardiac disease were absent in 141 (55.3%) patients. On physical examination arterial hypertension was detected in 75 (29.4%) cases and a cardiac murmur in 21 (8.2%). Diagnosis of coronary artery disease was made in 30 (11.8%) cases--13 (5.1%) with history of previous myocardial infarction, aortic valve stenosis in 5 (1.9%), other valvular heart diseases in 14 (5.5%), cardiac arrhythmias in 11 (4.3%). Heart disease was absent in 90 (35.4%) patients. Sixty-five (25.5%) patients were on drug therapy for heart diseases. Consultations were obtained for patients that had been already admitted to the hospital in 171 (67%) cases. Cardiological follow up was recommended to 150 (58.8%) patients. Seven patients died; the cause of the death was related to the primary disease. Contraindication for surgery imposed by cardiological evaluation did not occur.
CONCLUSION: In this study, patients with heart disease tolerated the surgical procedures. Preoperative cardiological evaluation added useful data for postoperative care and also for long term follow-up of the patients.