Role of dobutamine stress echocardiography for preoperative cardiac risk assessment before major vascular surgery: a diagnostic tool comes of age

Echocardiography. 2000 Jan;17(1):79-91. doi: 10.1111/j.1540-8175.2000.tb00998.x.


Background: Cardiac complications are a major cause for perioperative mortality and morbidity. Also, the presence and severity of underlying coronary artery disease (CAD) determine long-term prognosis after successful surgery.

Aim: This overview evaluates the additional value of dobutamine stress echocardiography (DSE) to common clinical cardiac risk factors and other noninvasive cardiac imaging modalities for perioperative and late cardiac prognosis.

Results: DSE provides theattending physician with preoperative prognostic information for perioperative and long-term prognosis for cardiac events. It also enables the selection of high risk patients for evaluation of cardiac risk reduction therapies.

Conclusions: DSE is a useful tool for preoperative cardiac risk evaluation in addition to common clinical cardiac risk factors.

Publication types

  • Review

MeSH terms

  • Cardiotonic Agents* / administration & dosage
  • Coronary Disease / diagnostic imaging
  • Coronary Disease / surgery*
  • Dobutamine* / administration & dosage
  • Echocardiography / methods*
  • Exercise Test
  • Humans
  • Infusions, Intravenous
  • Myocardial Revascularization*
  • Preoperative Care / methods*
  • Prognosis
  • Reproducibility of Results
  • Risk Assessment / methods*


  • Cardiotonic Agents
  • Dobutamine