Document Detail

Preoperative screening for perioperative cardiac risk.
MedLine Citation:
PMID:  1927843     Owner:  NLM     Status:  MEDLINE    
Preoperative screening for potential cardiac complications is crucial in making rational decisions about surgery. A number of classification schemes are available to aid the primary care physician in assessing a patient's perioperative cardiac risk. In general, these schemes enable the physician to place patients in low-risk, moderate-risk and high-risk categories. Patients at low risk can often be safely referred for surgery with minimal preoperative evaluation, while those at potentially high risk frequently need further assessment and medical or surgical treatment of cardiac disease prior to surgery. The classification schemes are most accurate in identifying patients at high risk for perioperative cardiac complications. However, patients with silent underlying cardiac disease are often underclassified with respect to potential risk. For those patients, accurate prediction of perioperative cardiac complications can be challenging.
R E Zuniga; W Rappaport; J Valente; R Allen; I Lesnick; E Kligman
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  American family physician     Volume:  44     ISSN:  0002-838X     ISO Abbreviation:  Am Fam Physician     Publication Date:  1991 Oct 
Date Detail:
Created Date:  1991-11-01     Completed Date:  1991-11-01     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  1272646     Medline TA:  Am Fam Physician     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1285-91     Citation Subset:  AIM; IM    
Department of Surgery, University of New Mexico School of Medicine, Albuquerque.
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MeSH Terms
Health Status
Heart Diseases / diagnosis*
Intraoperative Complications / diagnosis*
Preoperative Care / methods*
Risk Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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