| Preoperative risk evaluation and perioperative management of patients with coronary artery disease. | |
| | |
MedLine Citation:
|
PMID: 12575886 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
We have reviewed the methods of evaluating a patient's cardiac risk preoperatively using a careful history, physical examination, and EKG. Based on this information, various risk indices, guidelines, and algorithms can further assist the physician in deciding which patients can undergo surgery without further testing and which patients might benefit from further cardiac evaluation or medical therapy prior to surgery. The physician must keep in mind that a test should not be ordered if it is unlikely to alter the patient's management, and it is rarely necessary to perform a revascularization procedure with the sole purpose of getting a patient through surgery. Ongoing research is likely to lead to improvement in perioperative medical therapy. |
| | |
Authors:
|
Steven L Cohn; Lee Goldman |
Related Documents
:
|
19022016 - Video-assisted thoracoscopic left cardiac sympathetic denervation: a reliable minimally... 11481846 - Indication and perioperative management for cardiac surgery in patients with liver cirr... 12073196 - Risk factor analysis of early and delayed cerebral complications after cardiac surgery. 15502026 - Is muscle relaxant necessary for cardiac surgery? 20874416 - Laparoscopic diverticulectomy for a perforated duodenal diverticulum: a case report. 22216696 - Minilaparotomy for perforated duodenal ulcer. |
Publication Detail:
|
Type: Journal Article; Review |
Journal Detail:
|
Title: The Medical clinics of North America Volume: 87 ISSN: 0025-7125 ISO Abbreviation: Med. Clin. North Am. Publication Date: 2003 Jan |
Date Detail:
|
Created Date: 2003-02-10 Completed Date: 2003-02-21 Revised Date: 2007-11-15 |
Medline Journal Info:
|
Nlm Unique ID: 2985236R Medline TA: Med Clin North Am Country: United States |
Other Details:
|
Languages: eng Pagination: 111-36 Citation Subset: AIM; IM |
Affiliation:
|
Division of General Internal Medicine, State University of New York, Downstate Medical Center, 470 Clarkson Avenue, Box 68, Brooklyn, NY 11203, USA. steven_cohn@downstate.edu |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Coronary Artery Disease*
/
therapy Electrocardiography Heart Function Tests Humans Intraoperative Care Medical History Taking Physical Examination Postoperative Complications* / prevention & control Preoperative Care* Risk Assessment Risk Factors |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: DVT prophylaxis and anticoagulation in the surgical patient.
Next Document: Preoperative assessment and perioperative management of the patient with nonischemic heart disease.