[Preoperative cardiac assessment before non-cardiac surgery: cardiac risk stratification].
Perioperative cardiac events occurring in patients undergoing non-cardiac surgery are a common cause of morbidity and mortality. Current guidelines recommend an individualized approach to preoperative cardiac risk stratification prior to non-cardiac surgery, integrating risk factors both for the patient (active cardiac conditions, clinical risk factors, functional capacity) and for the planned surgery. Preoperative cardiac investigations are currently limited to high-risk patients in whom they may contribute to modify the perioperative management. A multidisciplinary approach to such patients, integrating the general practitioner, is recommended in order to define an individualized peri-operative strategy.
Iglesias
J F
JF
Service de cardiologie, CHUV, Lausanne. Juan-Fernando.lglesias@chuv.ch
Sierro
C
C
Aebischer
N
N
Vogt
P
P
Eeckhout
E
E
D006321:Heart / Q000503:physiopathology*; D006331:Heart Diseases / Q000191:economics / Q000453:epidemiology / Q000209:etiology / Q000517:prevention & control; D006801:Humans; D011183:Postoperative Complications / Q000191:economics / Q000517:prevention & control; D011300:Preoperative Care / Q000379:methods*; D018570:Risk Assessment / Q000379:methods