title: Patients with ischemic heart disease.
abstract: Ischemic heart disease (IHD) occurs when myocardial oxygen supply is not adequate for myocardial oxygen demand. Patients with IHD who are undergoing surgery are at risk for development of perioperative cardiac events (PCEs), and this risk depends on the type of surgery, the presence of clinical risk factors, and functional status of the patients. Appropriate perioperative management of medications such as dual antiplatelet therapy and β-blockers has a significant impact on outcomes. Perioperative management decisions should be communicated clearly between the surgeon, cardiologist, and anesthesiologist in charge of the patient. Appropriate perioperative management reduces the incidence of PCEs.
authors.affiliation: Department of Anesthesiology, University of Maryland School of Medicine, Suite S8D12 22 South Greene Street, Baltimore, MD 21201, USA.
authors.forename: Patrick N
authors.initials: PN
authors.lastname: Odonkor
authors.forename: Alina M
authors.initials: AM
authors.lastname: Grigore
mesh_terms: D058647:Adrenergic alpha-2 Receptor Agonists / Q000627:therapeutic use; D000319:Adrenergic beta-Antagonists / Q000627:therapeutic use; D057911:Angiotensin Receptor Antagonists / Q000627:therapeutic use; D000806:Angiotensin-Converting Enzyme Inhibitors / Q000627:therapeutic use; D002121:Calcium Channel Blockers / Q000627:therapeutic use; D004562:Electrocardiography; D006801:Humans; D000960:Hypolipidemic Agents / Q000627:therapeutic use; D000451:Mineralocorticoid Receptor Antagonists / Q000627:therapeutic use; D017202:Myocardial Ischemia / Q000150:complications* / Q000175:diagnosis* / Q000628:therapy; D009566:Nitrates / Q000627:therapeutic use; D062645:Percutaneous Coronary Intervention; D019990:Perioperative Care; D010975:Platelet Aggregation Inhibitors / Q000627:therapeutic use; D011300:Preoperative Care; D018570:Risk Assessment; D015607:Stents
chemical_list: D058647:Adrenergic alpha-2 Receptor Agonists; D000319:Adrenergic beta-Antagonists; D057911:Angiotensin Receptor Antagonists; D000806:Angiotensin-Converting Enzyme Inhibitors; D002121:Calcium Channel Blockers; D000960:Hypolipidemic Agents; D000451:Mineralocorticoid Receptor Antagonists; D009566:Nitrates; D010975:Platelet Aggregation Inhibitors
keywords: Coronary artery disease; Coronary stents; Myocardial ischemia; Noncardiac surgery; Perioperative cardiac risk assessment; Perioperative management of ischemic heart disease