TY - JOUR
T1 - Preoperative cardiac risk assessment in patients presenting for major vascular surgery
AU - Norris, E. J.
AU - Fleisher, L. A.
PY - 1994/1/1
Y1 - 1994/1/1
N2 - 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.
AB - 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.
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M3 - Review article
AN - SCOPUS:0028224550
SN - 0277-0326
VL - 13
SP - 2
EP - 13
JO - Seminars in Anesthesia
JF - Seminars in Anesthesia
IS - 1
ER -