In this prospective cohort 1005 patients scheduled for elective vascular surgery, all had an echo performed. Of all the patients, 21% had asymptomatic diastolic dysfunction, and 19% had asymptomatic systolic dysfunction. After multivariate adjustment, LV dysfunction independently predicted risk of 30 day cardiovascular events (OR 2.3 and 1.8 for systolic and diastolic dysfunction, respectively) and long term cardiovascular mortality (HR 4.6 and 3.0 for systolic and diastolic dysfunction, respectively) in patients undergoing open vascular surgery. Although the authors recommend routine pre-operative echo for patients undergoing vascular surgery, as of now it is unclear what interventions would be performed to reduce the risk of events (abstract)
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