Document Detail

Perioperative management of the patient with cardiac disease.
MedLine Citation:
PMID:  20435877     Owner:  NLM     Status:  MEDLINE    
The overall incidence of perioperative death is relatively low. However, patients with coronary artery disease are at higher than average risk of perioperative cardiac complications. Thus, preoperative testing for cardiac disease should be done in certain patients in an effort to reduce postoperative mortality and morbidity. Patients who require emergent orthopaedic surgery are at greater risk of perioperative cardiac events than are those who undergo elective procedures. Certain modalities, such as beta blockers, statins, and alpha-2 agonists, may be started or continued in the postoperative period to further enhance cardiac function. We review the current recommendations for preoperative cardiac testing in orthopaedic patients and for perioperative management of orthopaedic patients with known cardiac disease.
Robert C Decker; Jennifer R Foley; Thomas J Moore
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  The Journal of the American Academy of Orthopaedic Surgeons     Volume:  18     ISSN:  1067-151X     ISO Abbreviation:  J Am Acad Orthop Surg     Publication Date:  2010 May 
Date Detail:
Created Date:  2010-05-03     Completed Date:  2010-06-01     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9417468     Medline TA:  J Am Acad Orthop Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  267-77     Citation Subset:  IM    
Department of Orthopaedic Surgery, Emory University, Atlanta, GA, USA.
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MeSH Terms
Adrenergic beta-Antagonists / therapeutic use
Coronary Artery Disease / diagnosis*,  therapy*
Exercise Test
Hydroxymethylglutaryl-CoA Reductase Inhibitors / therapeutic use
Perioperative Care*
Postoperative Care
Postoperative Complications
Receptors, Adrenergic, alpha-2 / antagonists & inhibitors
Risk Assessment
Reg. No./Substance:
0/Adrenergic beta-Antagonists; 0/Hydroxymethylglutaryl-CoA Reductase Inhibitors; 0/Receptors, Adrenergic, alpha-2

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