Document Detail


Cardiac risk stratification for noncardiac surgery: update from the American College of Cardiology/American Heart Association 2007 guidelines.
MedLine Citation:
PMID:  19880841     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Lee A Fleisher;
Publication Detail:
Type:  Journal Article    
Journal Detail:
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:
Created Date:  2009-11-02     Completed Date:  2011-01-13     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8703441     Medline TA:  Cleve Clin J Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  S9-15     Citation Subset:  IM    
Affiliation:
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
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MeSH Terms
Descriptor/Qualifier:
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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