Preoperative assessment and perioperative management of cardiovascular risk

Angiology
Juergen SchiefermuellerAshok I Handa

Abstract

Preoperative cardiovascular evaluation of patients scheduled to undergo surgery requires a multidisciplinary approach involving anesthetists, surgeons, and cardiologists. Within the last 5 to 10 years, there have been considerable scientific advances in this field, and the European Society of Cardiology (ESC) and the American College of Cardiology/American Heart Association(ACC/AHA) have updated their guidelines.(1,11) Greater emphasis now lies on preoperative clinical risk stratification and less on routine cardiac testing. Prophylactic coronary revascularization is now also seen as rarely indicated simply to lower the risk of surgery.(1) This review will give a brief summary of the guidelines and suggests a practical stepwise approach to evaluate the patient preoperatively.

References

Oct 20, 1977·The New England Journal of Medicine·L GoldmanE E Slater
Nov 1, 1991·American Heart Journal·C K MorrisV F Froelicher
Nov 1, 1986·Archives of Internal Medicine·A S DetskyJ R Hilliard
Dec 31, 2004·The New England Journal of Medicine·Edward O McFallsWilliam G Henderson
Jul 29, 2005·The New England Journal of Medicine·Peter K LindenauerEvan M Benjamin
Oct 1, 2005·The American Journal of Medicine·Eric BoersmaDon Poldermans
Sep 5, 2006·Journal of the American College of Cardiology·Don PoldermansUNKNOWN Dutch Echocardiographic Cardiac Risk Evaluation Applying Stress Echo Study Group
Nov 24, 2006·Anesthesiology·Katja HindlerBernhard Riedel

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Citations

Nov 5, 2013·Current Opinion in Anaesthesiology·Jennifer HoferBobbie J Sweitzer
Aug 26, 2015·Annals of Vascular Surgery·George GalyfosKonstantinos Filis

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