“…Grundlagen jeder präoperati-ven technischen Untersuchung sind da-Tab. 1 Akut symptomatische Herzerkrankungen ("active cardiac condition" nach [7] Bei größeren Operationen besteht zudem ein Zusammenhang zwischen Mangelernährung und postoperativer Morbidität und Letalität. Die Erfassung des Ernährungsstatus bzw.…”
Section: A1 Anamnese Und Körperliche Untersuchungunclassified
“…Revised Cardiac Risk Index (nach [7,8] NRS 2002) sollte daher bei V. a. Mangelernährung (häufiger Indikator: BMI < 18.5 kg/m 2 ) Teil der präoperativen Untersuchung sein [6].…”
Section: Tab 3 Kardiale Risikofaktoren Nach Demunclassified
“…Grundlagen jeder präoperati-ven technischen Untersuchung sind da-Tab. 1 Akut symptomatische Herzerkrankungen ("active cardiac condition" nach [7] Bei größeren Operationen besteht zudem ein Zusammenhang zwischen Mangelernährung und postoperativer Morbidität und Letalität. Die Erfassung des Ernährungsstatus bzw.…”
Section: A1 Anamnese Und Körperliche Untersuchungunclassified
“…Revised Cardiac Risk Index (nach [7,8] NRS 2002) sollte daher bei V. a. Mangelernährung (häufiger Indikator: BMI < 18.5 kg/m 2 ) Teil der präoperativen Untersuchung sein [6].…”
Section: Tab 3 Kardiale Risikofaktoren Nach Demunclassified
“…The basis of every preoperative technical test is a thorough medical history including bleeding history Der Anaesthesist Table 1 Active cardiac conditions according to [7] Acute coronary syndrome Unstable or severe angina (CCS III or IV); recent myocardial infarction (>7 days and <30 days)…”
Section: A1 Medical History and Physical Examinationmentioning
confidence: 99%
“…If there are no indications of a preexisting disease which could poten- Table 3 Cardiac risk factors according to theRevisedCardiacRiskIndex(adaptedfrom [7,8] Risk factors are assessed on the basis of medical history or clinical records. The probability of serious cardiac complications increases significantly with an increasing number of risk factors (0.4, 0.9, 6.6, and 11% with 0, 1, 2 and 3 or more risk factors, respectively) CHD coronary heart disease, TIA transient ischemic attack tially have an impact on perioperative procedures, further tests are not necessary-regardless of the type and duration of surgery and age of the patient.…”
Section: A1 Medical History and Physical Examinationmentioning
confidence: 99%
“…Rational evaluation of the perioperative cardiovascular risk as well as the decision for or against extended diagnostic testing is based upon the factors described in section A.2.1. In patients with an active cardiac condition (e. g. ST elevation myocardial infarction, STEMI), the surgery-with the exception of emergencies-must be delayed, and the cardiac situation clarified and treated preoperatively [7]. This is, in principle, also valid for patients with non-STEMI (NSTEMI); however, in this case the urgency of the surgery must be weighed up against the urgency of the coronary diagnostics and treatment.…”
Preoperative use of aspirin plus clopidogrel is associated with an increased risk of infection after coronary artery bypass surgery. These findings merit additional work to clarify the risks and benefits of uninterrupted dual antiplatelet therapy in surgical patients and the impact of platelet inhibition on infectious outcomes in populations that are at heightened infectious risk.
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