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Core competency review: Aortic stenosis and noncardiac surgery
Author(s) -
Wright Douglas E.,
Hunt Daniel P.
Publication year - 2012
Publication title -
journal of hospital medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.128
H-Index - 65
eISSN - 1553-5606
pISSN - 1553-5592
DOI - 10.1002/jhm.1952
Subject(s) - medicine , perioperative , stenosis , intensive care medicine , cardiology , adverse effect , medline , physical examination , surgery , political science , law
Aortic stenosis (AS) poses a risk of adverse cardiac events for patients undergoing surgical procedures. Perioperative mortality for patients with severe AS is as high as 14%. This review examines the accuracy of the history and physical examination in detecting AS and, subsequently, in assessing severity. The utility of echocardiography is addressed, and the relevant pathophysiology of AS is summarized. We also summarize what is known about perioperative risk for patients with AS. Journal of Hospital Medicine 2012;. © 2012 Society of Hospital Medicine