Perioperative Cardiac Evaluation: Assessment, Risk Reduction, and Complication Management

Karen F. Mauck, Efren C. Manjarrez, Steven L. Cohn

Research output: Contribution to journalReview article

4 Scopus citations

Abstract

Perioperative cardiac complications are among the most feared outcomes after surgery. Using evidence-based guidelines and expert opinion, physicians can perform a risk assessment and decide whether further cardiac testing, medical therapy, or coronary intervention is necessary to optimize the patient's medical condition prior to surgery. This article reviews the major concepts and recommendations from the ACC guidelines for preoperative cardiac evaluation and perioperative management to reduce risk. Medical management of the major postoperative cardiac complications is also discussed.

Original languageEnglish (US)
Pages (from-to)585-605
Number of pages21
JournalClinics in Geriatric Medicine
Volume24
Issue number4
DOIs
StatePublished - Nov 1 2008

Keywords

  • β-Adrenergic blockers
  • Angioplasty
  • Coronary artery bypass
  • Operative
  • Percutaneous coronary
  • Perioperative
  • Postoperative complication
  • Preoperative care
  • Risk assessment
  • Statin
  • Stent
  • Surgical procedures
  • Transluminal

ASJC Scopus subject areas

  • Geriatrics and Gerontology

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