Preoperative cardiac risk assessment of the patient presenting for major vascular surgery remains controversial, problematic, and a significant challenge to the clinical anesthesiologist. Until future studies prove otherwise, preoperative cardiac risk assessment in this patient population should be based primarily, although not necessarily exclusively, on the traditional clinical evaluation familiar to all anesthesiologists. Based on all available information to date, the routine use of noninvasive or invasive testing is unquestionably not warranted. The decision to test should be based on the perioperative cardiac morbidity and mortality rates for the planned surgical procedure at that institution. Although multiple testing modalities and strategies have been proposed, the newer methods of dynamic assessment of myocardial function and ischemic potential hold the most promise for impacting on the care of these patients.
|Original language||English (US)|
|Number of pages||12|
|Journal||Seminars in Anesthesia|
|State||Published - Jan 1 1994|
ASJC Scopus subject areas
- Anesthesiology and Pain Medicine