• Anesthesiology clinics · Mar 2016

    Review

    Preoperative Assessment of the Patient with Cardiac Disease Undergoing Noncardiac Surgery.

    • Lee A Fleisher.
    • Department of Anesthesiology and Critical Care, Perelman School of Medicine at the University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA 19437, USA. Electronic address: Lee.fleisher@uphs.upenn.edu.
    • Anesthesiol Clin. 2016 Mar 1; 34 (1): 59-70.

    AbstractThe American College of Cardiology/American Heart Association has published Guidelines on Perioperative Evaluation. Preoperative evaluation should focus on identifying patients with symptomatic and asymptomatic coronary artery disease. The guidelines advocate using the American College of Surgeons National Surgical Quality Improvement Project Risk Index to determine perioperative risk. Diagnostic testing should be reserved for those at increased risk with poor exercise capacity. Indications for coronary interventions are the same in the perioperative period as in the nonoperative setting. In patients with a prior coronary stent, optimal antiplatelet therapy and timing of elective noncardiac surgery is evolving. Copyright © 2016 Elsevier Inc. All rights reserved.

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