Preoperative Assessment of the Patient with Cardiac Disease
نویسنده
چکیده
The past several years has seen a dramatic increase in the number and quality of randomized and prospective studies to define the optimal and most cost-effective approach to preoperative cardiovascular evaluation and management for noncardiac surgery, including studies evaluating the role of coronary revascularization before noncardiac surgery and perioperative beta-blockers. In 2007, the Guidelines on Perioperative Cardiovascular Evaluation before Noncardiac Surgery were updated which included a new algorithm. The basic tenet in preoperative evaluation remains that information regarding the extent and stability of disease will effect patient management and lead to improved outcome. In the case of cardiovascular disease, the preoperative evaluation attempts to define the extent of coronary artery disease and the left ventricular function.
منابع مشابه
Preoperative evaluation and preparation of the patient for cardiac surgery.
Cardiac surgery is associated with significant morbidity, mortality, and socioeconomic costs. Preoperative assessment assists the clinician in identifying potential complications and facilitates discussion of these risks with the patient. Careful patient selection and preparation during preoperative evaluation may minimize morbidity, mortality, and resource use. This article outlines a system-b...
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