Perioperative cardiovascular evaluation. Step-by-step approach to risk assessment and follow-up care.
One of the integral responsibilities in primary care medicine is medical consultation, especially when a surgical procedure is contemplated. A good grasp of the elements of multiple specialties and an understanding of the complexity of a proposed operation are essential for an appropriate preoperative evaluation. This article covers the steps in assessing cardiovascular risk in candidates for noncardiac surgery, including consideration of patient-specific and surgery-specific factors. The authors also recommend close postoperative follow-up to reduce morbidity and mortality.
Karcic
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Division of General Internal Medicine, Nassau County Medical Center, State University of New York at Stony Brook, East Meadow, USA. arsad@aol.com
Rizvon
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MK
D000465:Algorithms; D002318:Cardiovascular Diseases / Q000517:prevention & control*; D006334:Heart Function Tests; D006801:Humans; D019990:Perioperative Care; D011183:Postoperative Complications / Q000517:prevention & control; D017410:Practice Guidelines as Topic; D018570:Risk Assessment / Q000379:methods*