| Cardiac risk stratification for noncardiac surgery: update from the American College of Cardiology/American Heart Association 2007 guidelines. | |
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MedLine Citation:
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PMID: 19880841 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The American College of Cardiology and American Heart Association updated their joint guidelines on perioperative cardiovascular evaluation and care for noncardiac surgery in 2007. The guidelines recommend preoperative cardiac testing only when the results may influence patient management. They specify four high-risk conditions for which evaluation and preoperative treatment are needed: unstable coronary syndromes, decompensated heart failure, significant cardiac arrhythmias, and severe valvular disease. Patient-specific factors and the risk of the surgery itself are considerations in the need for an evaluation and the treatment strategy before noncardiac surgery. In most instances, coronary revascularization before noncardiac surgery has not been shown to reduce morbidity and mortality, except in patients with left main disease. The timing of surgery following percutaneous coronary intervention (PCI) depends on whether a stent was used, the type of stent, and the antiplatelet regimen. |
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Authors:
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Lee A Fleisher; |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Cleveland Clinic journal of medicine Volume: 76 Suppl 4 ISSN: 1939-2869 ISO Abbreviation: Cleve Clin J Med Publication Date: 2009 Nov |
Date Detail:
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Created Date: 2009-11-02 Completed Date: 2011-01-13 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8703441 Medline TA: Cleve Clin J Med Country: United States |
Other Details:
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Languages: eng Pagination: S9-15 Citation Subset: IM |
Affiliation:
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Department of Anesthesiology and Critical Care, University of Pennsylvania Health System, 3400 Spruce Street, 6 Dulles Building, Philadelphia, PA 19104, USA. fleishel@uphs.upenn.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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American Hospital Association Angioplasty, Balloon, Coronary Cardiovascular Diseases / epidemiology, etiology* Humans Perioperative Care* Practice Guidelines as Topic* Risk Adjustment* Risk Factors Surgical Procedures, Operative / adverse effects* Time Factors United States |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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