Preoperative cardiac evaluation

Lee A. Fleisher

Research output: Contribution to journalReview articlepeer-review

Abstract

Guidelines on perioperative cardiovascular evaluation for noncardiac surgery have been published. The integration of clinical risk factors, surgery-specific risk, and functional capacity should be used to determine the need for further diagnostic evaluation. The use of beta-adrenergic blockade in high-risk patients, particularly those with documented myocardium at risk undergoing vascular surgery, has been shown to reduce perioperative risk and may obviate the need for more invasive procedures. Coronary intervention should be reserved for those patients who warrant intervention independent of the noncardiac surgery.

Original languageEnglish (US)
Pages (from-to)59-75
Number of pages17
JournalAnesthesiology Clinics of North America
Volume22
Issue number1
DOIs
StatePublished - Mar 1 2004

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

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