PREOPERATIVE STRATEGIES TO ASSESS CARDIAC RISK BEFORE NONCARDIAC SURGERY

被引:10
作者
YOUNIS, LT [1 ]
MILLER, DD [1 ]
CHAITMAN, BR [1 ]
机构
[1] ST LOUIS UNIV,HLTH SCI CTR,DEPT INTERNAL MED,DIV CARDIOL,ST LOUIS,MO 63110
关键词
MAJOR SURGERY; PREOPERATIVE EVALUATION; NONINVASIVE TESTING; PREOPERATIVE INTERVENTION;
D O I
10.1002/clc.4960180805
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
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.
引用
收藏
页码:447 / 454
页数:8
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