Document Detail

The role of the cardiology consultant: putting it all together.
MedLine Citation:
PMID:  9585375     Owner:  NLM     Status:  MEDLINE    
Consultation represents the act of providing advice regarding diagnosis and/or management and may comprise a major component of a cardiologist's practice. A frequent cause for cardiac consultation is preoperative risk assessment. With steadily decreasing morbidity and mortality related to noncardiac surgery, cardiovascular management strategies that are known to improve long-term outcomes should guide decision making in the perioperative setting. The preoperative cardiac consultation may represent an opportunity to initiate or modify cardiac care including primary and secondary preventive measures. A stepwise approach to perioperative cardiac risk assessment, as set forth by joint American College of Cardiology and American Heart Association guidelines, should be employed. The hallmark of successful preoperative cardiology consultation is effective communication with referring physicians. A consultant's good clinical judgement will only impact a patient's care if recommendations are communicated effectively. There is no substitution for direct, verbal contact. Recommendations should be kept to less than five when possible, be brief and specific. The consultant should provide contingency plans and follow-up. Good consultative technique increases compliance with recommendations and facilitates efficient patient care.
M C Cohen
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Progress in cardiovascular diseases     Volume:  40     ISSN:  0033-0620     ISO Abbreviation:  Prog Cardiovasc Dis     Publication Date:    1998 Mar-Apr
Date Detail:
Created Date:  1998-05-21     Completed Date:  1998-05-21     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0376442     Medline TA:  Prog Cardiovasc Dis     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  419-40     Citation Subset:  AIM; IM    
Department of Medicine, Maine Medical Center, Portland, USA.
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MeSH Terms
Coronary Disease / complications*,  diagnosis*
Decision Trees
Interprofessional Relations
Physician's Role
Preoperative Care / methods*
Referral and Consultation*
Risk Assessment
Risk Factors
Treatment Outcome

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

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