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Preoperative cardiac evaluation and management of patients undergoing elective non‐cardiac surgery
Author(s) -
Scott Ian A,
Shohag Hasan A,
Kam Peter C A,
Jelinek Michael V,
Khadem Golam M
Publication year - 2013
Publication title -
medical journal of australia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.904
H-Index - 131
eISSN - 1326-5377
pISSN - 0025-729X
DOI - 10.5694/mja13.11066
Subject(s) - medicine , antithrombotic , atrial fibrillation , aspirin , perioperative , coronary artery disease , cardiac surgery , valvular heart disease , cardiology , heart failure , surgery , intensive care medicine
Summary Perioperative cardiac complications are a common cause of death and major morbidity in patients undergoing non‐cardiac surgery. Preoperative evaluation and medical optimisation can improve outcomes, although the evidence base is limited. Evidence of effectiveness is strongest for prophylactic use of β‐blockers in high‐risk patients and aspirin in patients with coronary artery disease. Particular challenges arise among patients with heart failure or valvular heart disease or those receiving antithrombotic therapy for coronary artery stents or atrial fibrillation. Close liaison between general practitioners, surgeons, anaesthetists and cardiologists is needed for optimising preoperative management and subsequent clinical outcomes in high‐risk patients.