RICHARD BECKER, M.D.
To the editor: We agree with Gerson and coworkers (1) that the Goldman index (2) may provide a low sensitivity for predicting perioperative cardiac complications in the geriatric population. My colleagues and I have recently completed a study to identify patients having perioperative cardiac complications after noncardiac surgery. The average age of our study population was 71 years. There were 28 patients who had operative myocardial infarction, 26 (93%) of which occurred within the first 2 days after surgery. Complications after infarct occurred in 17 patients and included various atrial and ventricular arrhythmias, congestive heart failure, cardiogenic shock, and myocardial
BECKER R. Cardiac Risk in Noncardiac Geriatric Surgery. Ann Intern Med. ;104:887–888. doi: 10.7326/0003-4819-104-6-887
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Published: Ann Intern Med. 1986;104(6):887-888.
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