Preoperative Management of Cardiac Patients Undergoing Noncardiac Surgery

Part of the Contemporary Cardiology book series (CONCARD)

Abstract

Cardiovascular complications account for approximately 50% of deaths in patients submitted to major noncardiac surgery, and more than 90% of these occurs in patients with coronary heart disease (CHD). In the United States, approximately one million patients have a cardiac death, congestive heart failure, myocardial infarction (MI), or myocardial ischemia after noncardiac surgery. The cost of in-hospital cardiac morbidity exceeds 10 billion dollars annually.

Keywords

Ischemia Heparin Adenosine Radionuclide Cardiomyopathy 

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Bibliography

  1. 1.
    Baron JF, Mundler O, Bertrand M, et al. Dipyridamole-thallium scientigraphy and gated radionuclide angiography to assess cardiac risk before abdominal aortic surgery. N Engl J Med 1994;330:663.PubMedCrossRefGoogle Scholar
  2. 2.
    Boersma E, Poldermans D, Bax JJ, et al. Predictors of cardiac events after major vascular surgery: role of clinical characteristics, dobutamine echocardiography, and beta-blocker therapy. JAMA 2001;285:1865–1873.PubMedCrossRefGoogle Scholar
  3. 3.
    Eagle KA, Berger PB, Calkins H, et al. ACC/AHA guideline update for perioperative cardiovascular evaluation for noncardiac surgery-executive summary. J Am Coll Cardiol 2002;39:542–553.PubMedCrossRefGoogle Scholar
  4. 4.
    Farwell DJ, Freemantle N, Sulke AN. Use of implantable loop recorders in the diagnosis and management of syncope. Eur Heart J 2004;25:1257–1263.PubMedCrossRefGoogle Scholar
  5. 5.
    Fleisher LA, Eagle KA, Shaffer T, et al. Perioperative-and long-term mortality rates after major vascular surgery: the relationship to preoperative testing in the medicare population. Anesth Analg 1999;89:849–855.PubMedCrossRefGoogle Scholar
  6. 6.
    Froehlich JB, Karavite D, Russman PL, et al. American College of Cardiology/American Heart Association preoperative assessment guidelines reduce resource utilization before aortic surgery. J Vasc Surg 2002;36:758–763.PubMedCrossRefGoogle Scholar
  7. 7.
    Hassan SA, Hlatky MA, Boothroyd DB, et al. Outcomes of noncardiac surgery after coronary bypass surgery or coronary angioplasty in the Bypass Angioplasty Revascularization Investigation (B ARI). Am J Med 2001;110:260–266.PubMedCrossRefGoogle Scholar
  8. 8.
    Kaluza GL, Joseph J, Lee JR, et al. Catastrophic outcomes of noncardiac surgery soon after coronary stenting. J Am Coll Cardiol 2000;35:1288–1294.PubMedCrossRefGoogle Scholar
  9. 9.
    Mangano DT, Goldman LG. Preoperative assessment of patients with known or suspected coronary disease. N Engl J Med 1995;333:1750.PubMedCrossRefGoogle Scholar
  10. 10.
    Mukherjee D, Eagle KA. Clinician update: Perioperative cardiac assessment for noncardiac surgery eight steps to the best possible outcome. Circulation 2003;107:2771.PubMedCrossRefGoogle Scholar
  11. 11.
    O’Neil-Callahan K, Katsimaglis G, Teppe MR, et al. Statins decrease perioperative cardiac complications in patients undergoing noncardiac vascular surgery. J Am Coll Cardiol 2005;45:336–342.PubMedCrossRefGoogle Scholar

Copyright information

© Humana Press Inc., Totowa, NJ 2005

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