Impact of focused cardiac ultrasound in vascular surgery patients: A prospective observational study

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Purpose: We aimed to evaluate the diagnostic and logistical consequences of routine preoperative focused cardiac ultrasound (FOCUS) in patients scheduled for elective vascular surgery.

Methods: In a prospective, observational study, FOCUS was performed in all patients seen in the vascular surgery outpatient clinic from January 14 to May1, 2019, unless a full echocardiography had been conducted in the preceding 12 months or the patient was already referred to an echocardiography by the vascular surgeons. FOCUS followed a stringent protocol and referrals for a full echocardiography followed predefined criteria.

Results: Preoperative FOCUS was performed in 55 (60%) patients. Of these, 12 patients (22%) revealed cardiac pathology and were referred to a full echocardiography. Coronary angiography was subsequently performed in one of these patients but was without a further consequence. All patients underwent surgery.

Conclusion: FOCUS disclosed cardiac pathology in the outpatient clinic but with little clinical consequence. This study does not support routine FOCUS as a part of the preoperative patient cardiovascular assessment before vascular surgery. However, larger studies are warranted to further evaluate the relevance of preoperative FOCUS in a larger sample size.

Original languageEnglish
Article numbere328
JournalHealth Science Reports
Number of pages5
Publication statusPublished - Sept 2021

Bibliographical note

© 2021 The Authors. Health Science Reports published by Wiley Periodicals LLC.

    Research areas

  • myocardial injury, preoperative focused cardiac ultrasound, preoperative planning, vascular surgery

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