Preoperative Assessment and Perioperative Management of Cardiovascular Risk

被引：5
|
作者：
Schiefermueller, Juergen
Myerson, Saul [1 ]
Handa, Ashok I. [2 ]
机构：
[1] Univ Oxford, John Radcliffe Hosp, Dept Cardiol, Oxford OX3 9DU, England
[2] John Radcliffe Hosp, Nuffield Dept Surg, Oxford OX3 9DU, England
来源：
ANGIOLOGY | 2013年 / 64卷 / 02期
关键词：
preoperative assessment; preoperative risk; preoperative cardiac risk assessment; MAJOR NONCARDIAC SURGERY; BETA-BLOCKER THERAPY; CARDIAC RISK; VASCULAR-SURGERY; INDEX; GUIDELINES; MORTALITY; VALIDATION;
D O I：
10.1177/0003319712440874
中图分类号：
R6 [外科学];
学科分类号：
1002 ; 100210 ;
摘要：
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.
引用
收藏
页码：146 / 150
页数：5
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