Preoperative Cardiac Risk Assessment For Noncardiac Surgery

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Preoperative Cardiac Risk Assessment For Noncardiac Surgery

N Halmey, Z.A Imran, H.K Haizal: Preoperative Cardiac Risk Assessment For Noncardiac Surgery. Mal. J. Oral Maxillofax. Surg. 2006: 4: 23–29.

Abstract:Preoperative cardiac assessment aims to estimate the risk of major adverse cardiovascular events in the perioperative period. Guidelines exist to aidsurgeons, anaesthetists and physicians in the management of patients with cardiac problems on the strength of the evidence for risk assessment and diagnostic testing. Assessment is divided into assessment of patient-specific risk, functional capacity and surgery-specific risk. The basic clinical evaluation obtained by history, physical examination and review of the electrocardiogram (ECG) usually provides sufficient data to evaluate cardiac risk.

This evaluation will enable recommendations to be made regarding further non-invasive and invasive investigations. Beta-blockers, statins and coronary revascularisation may then be indicated to lower cardiac risk.