Pre-operative cardiac evaluation before non-cardiac surgery

L. A. Fleisher

Research output: Contribution to journalArticlepeer-review

Abstract

Several recent guidelines have been published to codify the pre-operative evaluation of the cardiac patient undergoing non-cardiac surgery. Considering the lack of any randomized clinical trials in this area, they have incorporated information from both prospective cohort studies and the experience from the general care of the cardiac patient. The decision to perform testing is based on the clinical risk factors, exercise tolerance and surgical procedure. Testing should not be performed unless the results will actually change practice. Among the interventions advocated to reduce peri-operative risk, the decision to perform coronary revascularization before non-cardiac surgery must include issues related to local rates of morbidity and mortality for each of the procedures and potential long-term benefits.

Original languageEnglish (US)
Pages (from-to)373-390
Number of pages18
JournalBailliere's Clinical Anaesthesiology
Volume12
Issue number3
DOIs
StatePublished - Jan 1 1998

Keywords

  • Cardiac evaluation
  • Guidelines
  • Pre-operative evaluation
  • Revascularization
  • Testing

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

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