© 2005 by BMJ Publishing Group & British Cardiac Society
EDUCATION IN HEART
General cardiology
Non-cardiac vascular disease
Department of Vascular Surgery, St Mary’s Hospital, London, UK
Correspondence to:
Correspondence to:
Mr John H N Wolfe
Department of Vascular Surgery, St Mary’s Hospital, Praed Street, London W2 1NY, UK; john.wolfe@st-marys.nhs.uk
Keywords: abdominal aortic aneurysm; carotid artery disease; lower limb atherosclerosis; non-cardiac vascular disease; stents; vascular surgery
| The first 150 words of the full text of this article appear below. |
The recognition that atherosclerosis is a systemic process means that the fields of cardiology and vascular surgery frequently overlap. The cardiologist should have an understanding of the recent developments in the treatment of carotid artery disease, aortic aneurysms, and chronic limb ischaemia. Similarly, the vascular surgeon should recognise the incidence of coronary artery disease in their patients presenting with peripheral vascular disease and the need for cardiological assessment. The cooperation between the two specialties is being accelerated by the rapid development of endoluminal and minimally invasive techniques in each field.
PERIOPERATIVE CARE IN VASCULAR SURGERY
Enthusiasm for vascular surgery have always been tempered by the rate of perioperative morbidity and mortality resulting from the nature of the surgery and the co-morbidity of the patient. In many institutions, patients undergoing major vascular surgery are managed in general surgical wards. In this setting, there may be poor recognition among nursing and medical staff that these
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