Journals / Genel Tıp Dergisi / 2008 / Cilt: 18 - Sayı: 3

Cardiac assessment in patient before noncardiac surgery and review of literature

Son veriler ışığında kalp dışı cerrahi öncesi kardiyak değerlendirme

Pages
129–135
DOI
—
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

In addition, stable patients who have previously undergone coronary revascularization may also safely undergo surgery.

📌 3 Key Takeaways

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Objective & Hypothesis:Objective: Cardiac complications are the leading cause of perioperative morbidity and mortality following noncardiac surgery.
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Key Findings & Data:A strategic preoperative evaluation holds the potential to reduce perioperative cardiac events and healthcare costs.
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Conclusion & Impact:In addition, stable patients who have previously undergone coronary revascularization may also safely undergo surgery.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Objective: Cardiac complications are the leading cause of perioperative morbidity and mortality following noncardiac surgery. A strategic preoperative evaluation holds the potential to reduce perioperative cardiac events and healthcare costs. Main findings: A close working relationship between the primary care physician, cardiologist, surgeon and anesthesiologist will facilitate rational, tailored and optimized management decisions that constitute our best opportunity to reduce perioperative cardiovascular risk. Conclusion: Patients with low clinical risk factors and good functional status, undergoing a low or intermediate risk surgery, have an excellent prognosis and may proceed to surgery without further delay. In addition, stable patients who have previously undergone coronary revascularization may also safely undergo surgery.

Özet

Amaç: Kalp dışı cerrahi sonrası, kardiyak komplikasyonlar perioperatif morbidite ve mortalitenin önde gelen nedenidir. Hastaların sistematik olarak preoperatif değerlendirilmesi, perioperatif kardiyak olayları ve maliyeti azaltır. Ana bulgular: Hastayı takip eden doktor, kardiyolog, cerrah ve anestezistin birlikte çalışması, tedavinin gerçekçi, uygun ve optimal olmasını sağlayarak, perioperatif kardiyovasküler riski düşürür. Sonuç: Klinik olarak düşük risklive fonksiyonel kapasitesi iyi olan hastalarda, düşük ve orta riskli cerrahi müdahaleler mükemmel bir prognozla, ek bir değerlendirme gerekmeksizin yapılabilir. Ayrıca daha önceden revaskülarize edilen stabil hastalar da güvenle opere edilebilir.

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Cite This Article

YAZICI, M., KAYRAK, M., KOÇ, F. (2008). Cardiac assessment in patient before noncardiac surgery and review of literature. Genel Tıp Dergisi, Cilt: 18 - Sayı: 3, 129–135. https://ajindex.com/articles/218362

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References (13)

  1. Fleisher LA, Eagle KA. Anesthesia and noncardiac surgery in patients with heart disease. In: Braunwald E, Zipes DP, Libby P, Bonow RO, editors. Braunwald’s Heart Disease: A Textbook Cardiovascular Medicine. 7th ed. Philadephia: Elsevier Saunders; 2005. p.2021-35
  2. Crawford MH. Perioperative evaluation of the cardiac patient. In: Crawford MH, DiMarco JP, editor. Cardiology. USA:Mosby; 2002. p.18.1-9
  3. Lee TH, Marcantonio ER, Mangione CM, Thomas EJ, Polanczyk CA, Cook EF et al. Derivation and prospective validation of a simple index for prediction of cardiac risk of major noncardiac surgery. Circulation 1999;100:1043-9
  4. Fleisher LA, Beckman JA, Brown KA, Calkins H, Chaikof E, Fleischmann KE, et al. ACC/AHA Guidelines on Perioperative Cardiovascular Evaluation and Care for Noncardiac Surgery. A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Revise the 2002 Guidelines on Perioperative Cardiovascular Evaluation for Noncardiac Surgery). Circulation 2007;116:418-499
  5. Debabrata M, Eagle KA. Perioperative evaluation and management of patients with known or suspected cardiovascular disease who undergo noncardiac surgery. In: Fuster V, Alexander RW, O’Rourke RA, editors. Hurst’s The Heart. 11th ed. The McGraw-Hill;2004. p:2037-60
  6. Fleisher LA, Eagle KA. Clinical practise: lowering cardiac risk in non cardiac surgery. N Engl J Med 2001;345:1677-82
  7. Schein OD, Katz J, Bass EB, Tielsch JM, Lubomski LH, Feldman MA, et al. The value of routine preoperatif medical testing before cataract surgery. Am J Ophtalmol 2000;129:701
  8. Reddy PR, Vaitkus PT. Risks of noncardiac surgery after coronary stenting. Am J Cardiol 2005;95:755-7
  9. Lindenauer PK, Pekow P, Wang K, Mamidi DK, Gutierrez B, Benjamin EM. Periopertive beta-blocker therapy and mortality after major noncardiac surgery. N Engl J Med 2005;353:349-61
  10. Aronow WS, Ahn C. Incidence of heart failure in 2737 older persons with and without diabetes mellitus. Chest 1999;115:867-8
  11. Zeigler DW, Wright JG, Choban PS, Flancbaum L. A prospective randomised trial of perioperative “ optimization” of cardiac function in patients undergoing elective peripheral vascular surgery. Surgery 1997;122:584-92
  12. Thompson RC, Liberthson RR, Lowestein E. Perioperative anesthetic risc of noncardiac surgery in patients hypertrophic obstructive cardiomyopathy. JAMA 1985;254:2419-21
  13. Türk Kardiyoloji Derneği. İnfektif Endokardit Tanı,