The Value of Dipyridamole-Thallium Test in Prediction of Cardiac Complications After Reconstructive Vascular Surgery

Emin TİRELİ, Türkan ELMACI, Semih BARLAS, Enver DAYIOĞLU, Ertan ONURSAL, Cemil BARLAS

İstanbul Üniversitesi, İstanbul Tıp Fak. Göğüs Kalp Damar Cerrahisi Anabilim Dalı - İSTANBUL

Although the methods like ECG exercise testing have been used routinely to estimate the cardiac complications that may occur during and after vascular surgical procedures, these may appear to be ineffective because of the presence of peripheral arterial diseases, older age, neurologic and locomotor problems. On the other hand, with the usage of dipyridamo le-thallium perfusion test, ischemic heart disease can be demonstrated. We have compared a group of vascular patients (Group 2:200) that have undergone dipyridamole-thallium test before operation with the group (Group 1:250) that was taken directly into the theatre wit hout the test. All of these patients have been operated in the Istanbul Medical Faculty, Tho racic and Cardiovascular Surgery Department and our results have proven that dipyrida mole-thallium testing diagnoses the preexisting coronary disease and thus reduces the operative mortality.

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