Chapter

Noncardiac Surgery in Patients With Heart Disease

J. Wells Askew III and Clarence Shub

in Mayo Clinic Cardiology

Fourth edition

Published on behalf of © Mayo Foundation for Medical Education and Research

Published in print November 2012 | ISBN: 9780199915712
Published online May 2013 | e-ISBN: 9780199322824 | DOI: http://dx.doi.org/10.1093/med/9780199915712.003.0117

Series: Mayo Clinic Scientific Press

Noncardiac Surgery in Patients With Heart Disease

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The guidelines for the perioperative evaluation and management of patients undergoing noncardiac surgery focus on patients undergoing noncardiac surgery who are at risk of perioperative cardiac morbidity or mortality. This at-risk group includes patients with known CAD, patients with recent signs or symptoms suggestive of CAD, and asymptomatic patients older than 50 years who have the potential for coronary artery atherosclerosis. In general, a conservative approach is recommended. Expensive, noninvasive or invasive preoperative testing (eg, coronary angiography and revascularization) is rarely warranted just “to get the patient through an operation.” Rather, the indications for extensive perioperative testing or revascularization are generally similar to those in a nonoperative setting, and its use should be limited to clinical scenarios in which the results will specifically influence patient management.

Chapter.  6362 words. 

Subjects: Cardiovascular Medicine

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