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Clinics in chest medicine · Jun 1993
ReviewCardiac risk evaluation and management in noncardiac surgery.
- M C Gerson.
- Department of Internal Medicine, University of Cincinnati School of Medicine, Ohio.
- Clin. Chest Med. 1993 Jun 1;14(2):263-81.
AbstractA careful history, physical examination, resting electrocardiogram, and chest radiograph are essential for preoperative cardiac assessment of adult patients. The nine individual Goldman indicators of increased perioperative cardiac risk and evidence of an unstable coronary ischemic syndrome should be specifically sought in each patient and treated when possible. After initial assessment, patients who still have a medium level of perioperative risk can usually be accurately assigned to a high- or low-risk category through the use of exercise testing and the selective use of dipyridamole thallium imaging.
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