1998
DOI: 10.1001/archfami.7.2.164
|View full text |Cite
|
Sign up to set email alerts
|

Preoperative Cardiac Evaluation for Elective Noncardiac Surgery

Abstract: We reviewed the approach to preoperative cardiac risk assessment, incorporating new information regarding the pathophysiologic features of perioperative myocardial ischemia and recent clinical trials. Relevant articles were identified from a MEDLINE search, followed by bibliography review of the articles identified. The multifactorial risk indexes are valuable in stratifying risks among unselected patients undergoing noncardiac surgery, but they underestimate the risks in selected groups, particularly patients… Show more

Help me understand this report

Search citation statements

Order By: Relevance

Paper Sections

Select...
1
1
1
1

Citation Types

0
4
0
2

Year Published

2001
2001
2017
2017

Publication Types

Select...
5
3
1

Relationship

0
9

Authors

Journals

citations
Cited by 23 publications
(7 citation statements)
references
References 73 publications
0
4
0
2
Order By: Relevance
“…1). 113 Clinical markers of active coronary disease can be ascertained from a careful history and functional capacity assessment, and then used to evaluate the level of risk and guide preoperative cardiac testing. For example, patients with minor clinical predictors appear to have low risk for coronary stenosis.…”
Section: Preoperative Cardiac Assessmentmentioning
confidence: 99%
“…1). 113 Clinical markers of active coronary disease can be ascertained from a careful history and functional capacity assessment, and then used to evaluate the level of risk and guide preoperative cardiac testing. For example, patients with minor clinical predictors appear to have low risk for coronary stenosis.…”
Section: Preoperative Cardiac Assessmentmentioning
confidence: 99%
“…138 Similar interference can also occur with implantable cardioverter defibrillators during surgery. They should be deactivated during the intervention and reactivated in the recovery room prior to transferring the patient to the ward.…”
Section: Implantable Devices and Surgerymentioning
confidence: 94%
“…Las interferencias pueden reducirse colocando el bisturí eléctrico lo más alejado posible del marcapasos y usando descargas cortas y de baja amplitud. En muchos estudios los autores recomiendan programar el marcapasos en modo asíncrono o sin sensor en los pacientes dependientes de marcapasos cuyo ritmo subyacente no sea fiable y, tras la cirugía, reprogramarlo comprobando todos los pará-metros y umbrales de estimulación [171][172][173][174] . Durante la cirugía también pueden ocurrir interferencias con la función del desfibrilador automático implantable (DAI) producidas por la corriente eléctrica generada por el bisturí eléctrico 175,176 .…”
Section: Marcapasos/desfibrilador Automático Implantableunclassified