Preoperative Cardiac Evaluation Before Aortic Surgery



Each year in the USA, nearly 30 million patients are estimated to undergo noncardiac surgery, and about one third of these patients have coronary artery disease (CAD) or risk factors for CAD.1 About one million of those patients have perioperative cardiac complications that result in more than $20 billion in health-care expenditures.1 The current standards for preoperative cardiac evaluation of these patients are the guidelines published by the American College of Cardiology (ACC) and the American Heart Association (AHA), initially in 19962 and updated in 2002 3 and again in 2007.4 These guidelines were developed based on a review of the then-available literature and the opinions of experts from the disciplines of anesthesiology, cardiology, electrophysiology, vascular medicine, vascular surgery, and noninvasive cardiac testing.


Coronary Artery Bypass Graft Clinical Risk Factor Dobutamine Stress Echocardiography Noncardiac Surgery Major Vascular Surgery 
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Copyright information

© Springer Science+Business Media, LLC 2011

Authors and Affiliations

  1. 1.Departments of Anesthesia and of SurgeryThe Ohio State University Medical CenterColumbusUSA

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