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Preoperative cardiac risk management

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dc.creator Vidaković Radosav
dc.creator Poldermans Don
dc.creator Nešković Aleksandar N.
dc.date 2011
dc.date.accessioned 2013-05-30T11:41:59Z
dc.date.available 2013-05-30T11:41:59Z
dc.date.issued 2013-05-30
dc.identifier http://www.doiserbia.nb.rs/img/doi/0354-950X/2011/0354-950X1102009V.pdf
dc.identifier http://www.doaj.org/doaj?func=openurl&genre=article&issn=0354950X&date=2011&volume=58&issue=2&spage=9
dc.identifier.uri http://koha.mediu.edu.my:8181/jspui/handle/123456789/4762
dc.description Approximately 100 million people undergo noncardiac surgery annually worldwide. It is estimated that around 3% of patients undergoing noncardiac surgery experience a major adverse cardiac event. Although cardiac events, like myocardial infarction, are major cause of perioperative morbidity or mortality, its true incidence is difficult to assess. The risk of perioperative cardiac complications depends mainly on two conditions: 1) identified risk factors, and 2) the type of the surgical procedure. On that basis, different scoring systems have been developed in order to accurately assess the perioperative cardiac risk and to improve the patient management. Importantly, patients with estimated high risk should be tested preoperatively by non-invasive cardiac imaging modalities. According to test results, they can proceed directly to planed surgery with the use of cardioprotective drugs (ß-blockers, statins, aspirin), or to myocardial revascularization prior to non-cardiac surgery. In this review, we discuss the role of clinical cardiac risk factors, laboratory measurements, additional non-invasive cardiac testing, and consequent strategies in perioperative management of patients undergoing noncardiac surgery.
dc.language eng
dc.publisher Klinički centar Srbije, Institut za bolesti digestivnog sistema
dc.source Acta Chirurgica Iugoslavica
dc.subject non-cardiac surgery
dc.subject perioperative cardiac risk
dc.subject management strategies
dc.title Preoperative cardiac risk management


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