Don Poldermans

TL;DR: New-onset perioperative arrhythmias are common after vascular surgery, especially in the elderly and patients with reduced LVF, which helps to identify this high-risk group at increased risk of cardiovascular events and death.

TL;DR: Preoperative risk assessment with a noninvasive stress test (MPS or DSE) is necessary only in high-risk patients without unnecessary delay for vascular surgery and prophylactic revascularization should only be performed in those with unstable coronary artery disease.

TL;DR: The results indicate that complex ventricular arrhythmias during dobutamine stress echocardiography are not associated with signs of myocardial ischemia or a worse clinical outcome during long-term follow-up.

TL;DR: F-FDG SPECT is practical for routine assessment of myocardial viability in patients with ischemic LV dysfunction with or without diabetes mellitus and was predictive of improvement in LVEF and heart failure symptoms postoperatively.

TL;DR: The main purpose of performing pre-operative cardiac risk assessment is to assess the need for further cardiac testing in patients with intermediate clinical predictors or patients with minor clinical predictor and reduced functional capacity, additional non-invasive evaluation should be considered before undergoing major vascular surgery.