| Perioperative risk assessment among patients with congestive heart failure: a call for guidelines. | |
| | |
MedLine Citation:
|
PMID: 20073158 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
Each year, more than 10 million major noncardiac surgical procedures are performed in the United States. Current perioperative risk assessment focusing on ischemic heart disease and adherence to practice guidelines reduces morbidity and mortality. An estimated 10 million people in the United States suffer from ventricular dysfunction (class B), and half are symptomatic (class C), despite medical therapy. Individuals with heart failure who undergo surgical procedures are at higher risk for perioperative complications than those with ischemic heart disease. Currently, there are no consensus statements on the best approaches to risk-stratify individuals with heart failure who undergo surgical procedures. This manuscript reviews the current literature regarding risk assessment and perioperative management of patients with heart failure undergoing noncardiac surgical procedures. The authors will support the widespread use of two-dimensional echocardiogram with Doppler along with clinical criteria as the foundation of risk assessment. A simple algorithm will be discussed to help unify concepts and set the foundations for further research. |
| | |
Authors:
|
Hetal Prakash Kothari; Shomeet Patel; Vinay Thohan |
Related Documents
:
|
20146208 - Atrioventricular block after transcatheter asd closure using the amplatzer septal occlu... 9576998 - Limited access atrial septal defect closure and the evolution of minimally invasive sur... 7212828 - A safe technique for removal of massive left atrial thrombus. 20216078 - Liver disease after the fontan procedure: what the hepatologist needs to know. 18265648 - Risk factors for morbidity and mortality following abdominal surgery in patients on mai... 20667348 - Moderate hypothermia and unilateral selective antegrade cerebral perfusion: a contempor... |
Publication Detail:
|
Type: Journal Article; Review |
Journal Detail:
|
Title: Methodist DeBakey cardiovascular journal Volume: 5 ISSN: 1947-6094 ISO Abbreviation: Methodist Debakey Cardiovasc J Publication Date: 2009 |
Date Detail:
|
Created Date: 2010-01-15 Completed Date: 2010-03-04 Revised Date: 2012-08-17 |
Medline Journal Info:
|
Nlm Unique ID: 101508600 Medline TA: Methodist Debakey Cardiovasc J Country: United States |
Other Details:
|
Languages: eng Pagination: 2-8 Citation Subset: IM |
Affiliation:
|
Wake Forest University School of Medicine, Winston-Salem, North Carolina, USA. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Algorithms Comorbidity Echocardiography, Doppler Heart Failure / complications*, epidemiology, ultrasonography Humans Practice Guidelines as Topic* Risk Assessment / methods* Surgical Procedures, Operative* United States / epidemiology |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Genomic medicine and racial/ethnic health disparities: promises, perils, and the challenges for heal...
Next Document: The current treatment of pulmonary hypertension.