Coronary Disease Risk Prediction, Risk Reduction, and

Med. Clin. North Am. · Nov 2024

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Coronary Disease Risk Prediction, Risk Reduction, and Postoperative Myocardial Injury.

For patients considering surgery, the preoperative evaluation allows physicians to identify and treat acute cardiac conditions before less-urgent surgery, predict the benefits and harms of a proposed surgery, and make temporary management changes to reduce operative risk. Multiple risk prediction tools are reasonable for use in estimating perioperative cardiac risk, but management changes to reduce risk have proven elusive. For all but the most urgent surgical procedures, patients with active coronary syndromes or decompensated heart failure should have surgery postponed.

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- Matthew A Pappas, Leonard S Feldman, and Andrew D Auerbach.
- Department of Hospital Medicine, Cleveland Clinic, Cleveland, OH, USA; Center for Value-based Care Research, Cleveland Clinic, Cleveland, OH, USA; Outcomes Research Consortium, Cleveland, OH, USA. Electronic address: pappasm@ccf.org.
- Med. Clin. North Am. 2024 Nov 1; 108 (6): 103910511039-1051.
AbstractFor patients considering surgery, the preoperative evaluation allows physicians to identify and treat acute cardiac conditions before less-urgent surgery, predict the benefits and harms of a proposed surgery, and make temporary management changes to reduce operative risk. Multiple risk prediction tools are reasonable for use in estimating perioperative cardiac risk, but management changes to reduce risk have proven elusive. For all but the most urgent surgical procedures, patients with active coronary syndromes or decompensated heart failure should have surgery postponed.Copyright © 2024 Elsevier Inc. All rights reserved.

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Coronary Disease Risk Prediction, Risk Reduction, and Postoperative Myocardial Injury.

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