Open AccessPreoperative strategies to assess cardiac risk before noncardiac surgery
Author(s) -
Younis Liwa T.,
Douglas Miller D.,
Chaitman Bernard R.
Publication year - 1995
Publication title -
clinical cardiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.263
H-Index - 72
eISSN - 1932-8737
pISSN - 0160-9289
DOI - 10.1002/clc.4960180805
Subject(s) - medicine , stress testing (software) , risk assessment , cardiac surgery , cardiology , radiology , intensive care medicine , surgery , computer security , computer science , programming language
The strategies recommended in the preoperative cardiac risk assessment prior to major vascular and nonvascular surgery are reviewed. The role of clinical evaluation, noninvasive stress testing (exercise test, stress myocardial perfusion imaging, stress echocardiography), and Holter monitoring during the preoperative evaluation are outlined and the value of intervention based on the use of each test is discussed. Recommended strategies to evaluate patients based on their clinical risk markers in addition to the results of the noninvasive risk assessment are presented.