Preoperative cardiac risk assessment

Last reviewed: 23 Apr 2022
Last updated: 20 Jan 2022

Summary

Details

  • Stepwise management approach
  • History and physical examination
  • Functional capacity assessment
  • Cardiac risk stratification using clinical predictors and risk models
  • Risk stratification according to type of non-cardiac surgery
  • Diagnostic tests
  • Cardiac risk stratification using stress testing
  • ACS NSQIP universal surgical risk calculator
  • Perioperative therapy
  • Preoperative revascularisation with coronary artery bypass grafting or percutaneous coronary intervention
  • Beta-blockers
  • Statins
  • Surveillance
  • Special circumstances
  • American College of Cardiology/American Heart Association (ACC/AHA) guidelines synopsis
  • European Society of Cardiology (ESC) and European Society of Anaesthesiology (ESA) guideline synopsis
  • Canadian Cardiovascular Society guidelines on perioperative cardiac risk assessment synopsis
Full details

Contributors

Authors

Debabrata Mukherjee, MD, FACC
Debabrata Mukherjee

Chief

Cardiovascular Medicine

Professor and Chairman of Internal Medicine

Texas Tech University Health Sciences Center

El Paso

TX

Disclosures

DM declares that he has no competing interests.

Peer reviewers

Martin Bocks, MD

Clinical Lecturer

University of Michigan Congenital Heart Center

Ann Arbor

MI

Disclosures

MB declares that he has no competing interests.

Andrew Turley, MB ChB

Cardiology Specialist Registrar

The James Cook University Hospital

Middlesbrough

UK

Disclosures

AT declares that he has no competing interests.

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