title: Cardiac risk assessment: decreasing postoperative complications.
abstract: Preoperative cardiac assessment helps identify patients undergoing noncardiac surgery who are at risk for significant postoperative cardiac complications and those who may benefit from additional preoperative evaluation and perioperative care. Advanced practice nurses can identify surgery- and patient-related risks by conducting a thorough health history and physical examination. Multiple risk indices and evidence-based guidelines are available to inform health care providers regarding patient evaluation and strategies to reduce postoperative cardiac risk. In general, preoperative tests are recommended only if the findings will influence medical therapy or perioperative monitoring or will require postponement of surgery until a cardiac condition can be corrected or stabilized. Medication management is a crucial component of the preoperative assessment; providers may need to initiate the use of beta-blockers and make decisions regarding continuing or withholding antiplatelet and anticoagulant therapy. Preoperative cardiac risk stratification, medication reconciliation, and device management are essential for providing safe care for patients.
authors: Joanne L
authors: JL
authors: Thanavaro
mesh_terms: D000319:Adrenergic beta-Antagonists / Q000627:therapeutic use; D000465:Algorithms; D000556:Ambulatory Surgical Procedures; D006331:Heart Diseases / Q000453:epidemiology* / Q000517:prevention & control; D006801:Humans; D059065:Medication Reconciliation; D010138:Pacemaker, Artificial; D013527:Perioperative Nursing; D011183:Postoperative Complications / Q000453:epidemiology* / Q000517:prevention & control; D018570:Risk Assessment
chemical_list: D000319:Adrenergic beta-Antagonists
keywords: cardiac risk assessment; cardiac risk indices; medication reconciliation; postoperative cardiac complications; revised cardiac risk index