Current Practice and Recommendation for Presurgical Cardiac Evaluation in Patients Undergoing Noncardiac Surgeries
The increasing number of patients with coronary artery disease (CAD) undergoing major noncardiac surgery justifies guidelines concerning preoperative cardiac evaluation. This is compounded by increasing chances for a volatile perioperative period if the underlying cardiac problems are left uncorrect...
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Thieme Medical and Scientific Publishers Pvt. Ltd.
2014-01-01
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| Series: | World Journal of Nuclear Medicine |
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| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.4103/1450-1147.138568 |
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| author | Subramanyam Padma P Sundaram |
| author_facet | Subramanyam Padma P Sundaram |
| author_sort | Subramanyam Padma |
| collection | DOAJ |
| description | The increasing number of patients with coronary artery disease (CAD) undergoing major noncardiac surgery justifies guidelines concerning preoperative cardiac evaluation. This is compounded by increasing chances for a volatile perioperative period if the underlying cardiac problems are left uncorrected prior to major noncardiac surgeries. Preoperative cardiac evaluation requires the clinician to assess the patient′s probability to have CAD, severity and stability of CAD, placing these in perspective regarding the likelihood of a perioperative cardiac complication based on the planned surgical procedure. Coronary events like new onset ischemia, infarction, or revascularization, induce a high-risk period of 6 weeks, and an intermediate-risk period of 3 months before performing noncardiac surgery. This delay is unwarranted in cases where surgery is the mainstay of treatment. The objective of this review is to offer a comprehensive algorithm in the preoperative assessment of patients undergoing noncardiac surgery and highlight the importance of myocardial perfusion imaging in risk stratifying these patients. |
| format | Article |
| id | doaj-art-67a50b8911654003bee2b381cbddb371 |
| institution | DOAJ |
| issn | 1450-1147 1607-3312 |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Thieme Medical and Scientific Publishers Pvt. Ltd. |
| record_format | Article |
| series | World Journal of Nuclear Medicine |
| spelling | doaj-art-67a50b8911654003bee2b381cbddb3712025-08-20T02:54:43ZengThieme Medical and Scientific Publishers Pvt. Ltd.World Journal of Nuclear Medicine1450-11471607-33122014-01-01130161510.4103/1450-1147.138568Current Practice and Recommendation for Presurgical Cardiac Evaluation in Patients Undergoing Noncardiac SurgeriesSubramanyam Padma0P Sundaram1Department of Nuclear Medicine and PETCT, Amrita Institute of Medical Sciences, Cochin, Kerala, IndiaDepartment of Nuclear Medicine and PETCT, Amrita Institute of Medical Sciences, Cochin, Kerala, IndiaThe increasing number of patients with coronary artery disease (CAD) undergoing major noncardiac surgery justifies guidelines concerning preoperative cardiac evaluation. This is compounded by increasing chances for a volatile perioperative period if the underlying cardiac problems are left uncorrected prior to major noncardiac surgeries. Preoperative cardiac evaluation requires the clinician to assess the patient′s probability to have CAD, severity and stability of CAD, placing these in perspective regarding the likelihood of a perioperative cardiac complication based on the planned surgical procedure. Coronary events like new onset ischemia, infarction, or revascularization, induce a high-risk period of 6 weeks, and an intermediate-risk period of 3 months before performing noncardiac surgery. This delay is unwarranted in cases where surgery is the mainstay of treatment. The objective of this review is to offer a comprehensive algorithm in the preoperative assessment of patients undergoing noncardiac surgery and highlight the importance of myocardial perfusion imaging in risk stratifying these patients.http://www.thieme-connect.de/DOI/DOI?10.4103/1450-1147.138568cardiac risk stratificationcoronary artery diseaseheartnoncardiac surgeriesstress myocardial perfusion imagingsurgery |
| spellingShingle | Subramanyam Padma P Sundaram Current Practice and Recommendation for Presurgical Cardiac Evaluation in Patients Undergoing Noncardiac Surgeries World Journal of Nuclear Medicine cardiac risk stratification coronary artery disease heart noncardiac surgeries stress myocardial perfusion imaging surgery |
| title | Current Practice and Recommendation for Presurgical Cardiac Evaluation in Patients Undergoing Noncardiac Surgeries |
| title_full | Current Practice and Recommendation for Presurgical Cardiac Evaluation in Patients Undergoing Noncardiac Surgeries |
| title_fullStr | Current Practice and Recommendation for Presurgical Cardiac Evaluation in Patients Undergoing Noncardiac Surgeries |
| title_full_unstemmed | Current Practice and Recommendation for Presurgical Cardiac Evaluation in Patients Undergoing Noncardiac Surgeries |
| title_short | Current Practice and Recommendation for Presurgical Cardiac Evaluation in Patients Undergoing Noncardiac Surgeries |
| title_sort | current practice and recommendation for presurgical cardiac evaluation in patients undergoing noncardiac surgeries |
| topic | cardiac risk stratification coronary artery disease heart noncardiac surgeries stress myocardial perfusion imaging surgery |
| url | http://www.thieme-connect.de/DOI/DOI?10.4103/1450-1147.138568 |
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