Preoperative evaluation of the cardiac patient for noncardiac surgery

L. A. Fleisher, P. G. Barash

Research output: Contribution to journalArticlepeer-review

Abstract

Perioperative cardiac events continue to represent a significant cause of morbidity in patients undergoing noncardiac surgery. The evaluation of the high risk patient should begin with an assessment of the probability of coronary artery disease and exercise tolerance. Decisions to undergo further evaluation, including noninvasive testing, should be based upon the perioperative morbidity and mortality rate for the planned surgical procedure. In patients with significant coronary artery stenoses and a high probability of perioperative cardiac morbidity, coronary artery bypass grafting, percutaneous transluminal coronary angioplasty, and preoperative optimization of hemodynamics in an intensive care unit have all been advocated as means of reducing risk.

Original languageEnglish (US)
Pages (from-to)385-395
Number of pages11
JournalYale Journal of Biology and Medicine
Volume66
Issue number5
StatePublished - Dec 1 1993

ASJC Scopus subject areas

  • Biochemistry, Genetics and Molecular Biology(all)

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