TITLE

Perioperative Cardiovascular Assessment of Patients

AUTHOR(S)
Freeman, William K.; Gibbons, Raymond J.
PUB. DATE
January 2009
SOURCE
Mayo Clinic Proceedings;Jan2009, Vol. 84 Issue 1, p79
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
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 reserved for those patients in whom a substantial change in medical management would be anticipated based on results of testing. Pharmacologic therapy holds more promise than coronary revascularization for the reduction of major adverse perioperative cardiac events that might complicate noncardiac surgery.
ACCESSION #
36024807

 

Related Articles

  • What is the exact predictive role of preoperative white blood cell count for new-onset atrial fibrillation following open heart surgery? Jalil Mirhosseini, Seyed; Ali-Hassan-Sayegh, Sadegh; Khalil Forouzannia, Seyed // Saudi Journal of Anaesthesia;Jan-Mar2013, Vol. 7 Issue 1, p40 

    Background: Atrial fibrillation (AF) occurs in 30% patients on the second or third day post operation; therefore, it is the most prevalent and complicated arrhythmia after open heart surgery. White blood cell (WBC) count seems to be most significantly associated with cardiovascular disorders....

  • Physicians Should Consider Indications Before Ordering Preoperative Cardiac Testing. THOMPSON, ROBERT; FEELY, MOLLY A.; MAUCK, KAREN F. // American Family Physician;10/1/2013, Vol. 88 Issue 7, p424 

    A letter to the editor is presented in response to an article by Feely and colleagues regarding preoperative cardiac testing recommendations, published in the previous issue.

  • Isolated Chylopericardium after Intrapericardial Procedures. Chung-Dann Kan; Jieh-Neng Wang; Jing-Ming Wu; Yu-Jen Yang // Texas Heart Institute Journal;2007, Vol. 34 Issue 1, p82 

    Chylopericardium after an intrapericardial procedure is rare, and satisfactory explanations of its possible causes are lacking. Herein, we present 4 cases of chylopericardium that developed after intrapericardial surgery, and we review the literature. Our literature review revealed 29 cases of...

  • Intra-operative tachycardia and peri-operative outcome. Hartmann, Bernd; Junger, Axel; Röhrig, Rainer; Klasen, Joachim; Jost, Andreas; Benson, Matthias; Braun, Helge; Fuchs, Carsten; Hempelmann, Gunter // Langenbeck's Archives of Surgery;Sep2003, Vol. 388 Issue 4, p255 

    Background. Intra-operative tachycardia is a common adverse event, often recorded as an indicator for process quality in quality assurance projects in anaesthesia. Methods. This retrospective study is based on data sets of 28,065 patients recorded with a computerised anaesthesia record-keeping...

  • Infective endocarditis in Europe: lessons from the Euro heart survey. Tornos, P.; Jung, B.; Permanyer-Miralda, G.; Baron, G.; Delahaye, F.; Gohlke-Bärwolf, Ch.; Butchart, E. G.; Ravaud, P.; Vahanian, A. // Heart;May2005, Vol. 91 Issue 5, p571 

    Objectives: To describe the characteristics, treatment, and outcomes of active infective endocarditis (IE) in Europe. Design: Prospective survey of medical practices in Europe. Setting: 92 centres from 25 countries. Patients: The EHS (Euro heart survey) on valvar heart disease (VHD) enrolled...

  • Sildenafil Therapy for Pulmonary Hypertension. Palma, Gaetano; Giordano, Raffaele; Russolillo, Veronica; Cioffi, Sabato; Palumbo, Sergio; Mucerino, Marco; Poli, Vincenzo; Vosa, Carlo // Texas Heart Institute Journal;2011, Vol. 38 Issue 3, p238 

    Pulmonary hypertension associated with pediatric congenital heart defects is a major cause of postoperative morbidity and death. Sildenafil has been combined with inhaled nitric oxide to treat pulmonary hypertension. We retrospectively studied the pre- and postoperative effects of oral...

  • funding a hospitalist program which approach will you take? Greeno, Ron // hfm (Healthcare Financial Management);Aug2010, Vol. 64 Issue 8, p76 

    The article focuses on treating hospitalists as partners in order to increase the value of the hospitalist program and benefits the hospital's performance in the U.S. It mentions that hospitalists are physicians who focuses on the general care of hospitalized patients including nursing, imaging,...

  • Utility of clinical risk predictors for preoperative cardiovascular risk prediction. Biccard, B. M.; Rodseth, R. N. // BJA: The British Journal of Anaesthesia;Aug2011, Vol. 107 Issue 2, p133 

    Cardiovascular risk prediction using clinical risk factors is integral to both the European and the American algorithms for preoperative cardiac risk assessment and perioperative management for non-cardiac surgery. We have reviewed these risk factors and their ability to guide clinical decision...

  • Effects of aerobic exercise training after the Fontan operation: comparison between children and adult patients.  // Cardiology in the Young;May2005 Supplement 2, Vol. 15 Issue S2, p71 

    The article presents a study related to positive effect of aerobic training on exercise performance in adult patients after the Fontan operation. The results conclude that the compliance to the exercise program was good in the group of patients 4-11 years old, but very poor in the adults....

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics