The impact of preoperative stress testing on cardiovascular and surgical care - Does it actually improve outcomes?

Article Medicine, General & Internal

Association of Pretransplant Coronary Heart Disease Testing With Early Kidney Transplant Outcomes

Xingxing S. Cheng et al.

Summary: Testing for coronary heart disease (CHD) before kidney transplant is common, but its association with perioperative outcomes is unclear. This cohort study found that pretransplant CHD testing was not associated with a reduction in early posttransplant death or acute MI.

JAMA INTERNAL MEDICINE (2023)

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Article Anesthesiology

Consequences of preoperative cardiac stress testing-A cohort study

Matthew A. Pappas et al.

Summary: Preoperative cardiac stress testing may lead to coronary angiography and cardiac interventions while reducing the use of noncardiac surgery and delaying surgery for patients who ultimately proceed to noncardiac surgery. However, the study results do not support a causal relationship between stress testing and postoperative mortality.

JOURNAL OF CLINICAL ANESTHESIA (2023)

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Article Surgery

Stress testing before abdominal aortic aneurysm repair does not lead to a reduction in perioperative cardiac events

Jesse A. Columbo et al.

Summary: The study found that the usage rates of stress testing before AAA repair varied widely across different centers, despite similar patient risk profiles. Centers with high stress test usage did not show a reduction in the rate of cardiac events after AAA repair, suggesting that the value of routine stress testing before AAA repair should be reconsidered.

JOURNAL OF VASCULAR SURGERY (2021)

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Article Cardiac & Cardiovascular Systems

Outcomes in the ISCHEMIA Trial Based on Coronary Artery Disease and Ischemia Severity

Harmony R. Reynolds et al.

Summary: The ISCHEMIA trial found that the severity of ischemia was not associated with increased risk after adjustment for CAD severity. More severe CAD was related to increased risk. Invasive management did not lower all-cause mortality at 4 years in any ischemia or CAD subgroup.

CIRCULATION (2021)

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Article Medicine, General & Internal