Perioperative cardiovascular assessment of patients undergoing noncardiac surgery.

Mayo Clinic Proceedings
W K Freeman, R J Gibbons

Abstract

Preoperative assessment of the cardiac patient before noncardiac surgery is common in the clinical practice of the medical consultant, anesthesiologist, and surgeon. Currently, most noncardiac surgical procedures are performed for patients of advanced age, and the number of such surgeries is likely to increase with the aging of the population. These same patients have an increased prevalence of cardiovascular disease, especially ischemic heart disease, which is the primary cause of perioperative morbidity and mortality associated with noncardiac surgery. Since 1996, 3 American College of Cardiology/American Heart Association guideline documents have been published, each reflecting the available literature, with recommendations for the preoperative cardiovascular evaluation and treatment of the patient undergoing noncardiac surgery. Our review describes the 2007 American College of Cardiology/American Heart Association guidelines, the most recent revision, focusing on a newly recommended 5-step algorithmic approach to managing this clinical problem, particularly for the patient with known or suspected coronary heart disease. Continued emphasis should be given to preoperative clinical risk stratification, with noninvasive testing...Continue Reading

References

Oct 20, 1999·Archives of Internal Medicine·D F ReillyS D Fihn
Apr 28, 2004·Journal of Vascular Surgery·Anai E S DurazzoBruno Caramelli
Dec 31, 2004·The New England Journal of Medicine·Edward O McFallsWilliam G Henderson
Sep 5, 2006·Journal of the American College of Cardiology·Don PoldermansUNKNOWN Dutch Echocardiographic Cardiac Risk Evaluation Applying Stress Echo Study Group
Nov 23, 2006·Journal of the American College of Cardiology·Pamela DouglasUNKNOWN Society for Vascular Medicine and Biology
May 16, 2008·Lancet·Lee A Fleisher, Don Poldermans
Jun 3, 2008·Journal of Nuclear Cardiology : Official Publication of the American Society of Nuclear Cardiology·Rupa MehtaUNKNOWN American Society of Nuclear Cardiology

❮ Previous
Next ❯

Citations

Jun 16, 2015·World Journal of Gastroenterology : WJG·Sang-Ho JeongYoung-Joon Lee

❮ Previous
Next ❯

Related Concepts

Related Feeds

Bradyarrhythmias

Bradyarrhythmias are slow heart rates. Symptoms may include syncope, dizziness, fatigure, shortness of breath, and chest pains. Find the latest research on bradyarrhythmias here.

Arrhythmia

Arrhythmias are abnormalities in heart rhythms, which can be either too fast or too slow. They can result from abnormalities of the initiation of an impulse or impulse conduction or a combination of both. Here is the latest research on arrhythmias.

Cardiovascular Disease Pathophysiology

Cardiovascular disease involves several different processes that contribute to the pathological mechanism, including hyperglycemia, inflammation, atherosclerosis, hypertension and more. Vasculature stability plays a critical role in the development of the disease. Discover the latest research on cardiovascular disease pathophysiology here.

Atrial Fibrillation

Atrial fibrillation is a common arrhythmia that is associated with substantial morbidity and mortality, particularly due to stroke and thromboembolism. Here is the latest research.