Preoperative Cardiac Evaluation of the Vascular Surgery Patient—An Anesthesia Perspective
cardiac risk, preoperative evaluation, vascular surgery
Digital Object Identifier (DOI)
The morbidity and mortality associated with vascular surgery procedures are largely the results of cardiac events. National guidelines have been regularly proposed and updated by the American College of Cardiology (ACC)/American Heart Association (AHA) to ensure optimal perioperative management and risk stratification. Controversy remains between experts and other cardiology societies regarding several patient care issues including revascularization before surgery, timing of β-blocker therapy, and the administration of antiplatelet therapy. Several landmark articles recently published have helped to modify the guidelines in the hope of improving vascular patient outcomes. In this review, we searched all recent available literature pertaining to perioperative cardiac evaluation before major vascular surgery. We propose an algorithm for preoperative cardiac evaluation, which is a modification to the AHA recommendations. Incorporated in this algorithm are recent published pivotal articles that can help in guiding physicians caring for the vascular patient requiring major operative or endovascular interventions.
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Citation / Publisher Attribution
Vascular and Endovascular Surgery, v. 46, issue 3, p. 201-211
Scholar Commons Citation
Omar, Hesham R.; Mangar, Devanand; and Camporesi, Enrico M., "Preoperative Cardiac Evaluation of the Vascular Surgery Patient—An Anesthesia Perspective" (2012). Molecular Pharmacology & Physiology Faculty Publications. 39.