Screening for cardiac disease in patients having noncardiac surgery

Article Abstract:

Extensive heart condition examinations before non-heart surgery may be most appropriate for patients at moderate or high risk for heart attack. Most studies have shown that the number of risk factors per patient better predicts the risk for heart attack following major surgery as opposed to the results from pre-testing. Patients with unstable heart pain or function or those with heart conditions who can not exercise may be appropriate targets for extensive pre-testing. Guidelines established by the American Heart Association and American College of Cardiology can help calculate the risk for heart attack in a patient following non-heart surgery and determine the value of pre-testing in selected patients. It may be more cost-effective to select appropriate patients for pre-testing as opposed to routinely testing patients before non-heart surgery.

Diagnosis, Coronary heart disease, Preoperative care, Diagnosis, Noninvasive, Noninvasive diagnosis

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Prediction of perioperative risk: the glass may be three-quarters full

Article Abstract:

Patients who have a low risk of cardiovascular disease probably have a low risk of cardiovascular complications from non-cardiac surgery. Only patients with a moderate to high risk should be assessed for potential complications. Those with a high risk of complications can be treated with heart drugs before surgery.

Editorial, Usage, Complications and side effects, Surgery, Postoperative complications, Health risk assessment, Health status indicators

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Update in cardiology

Article Abstract:

A review of research on heart disease published in 1999-2000 is presented. Topics include prevention and treatment of coronary artery disease, the use of anticoagulants to prevent heart attack, and the treatment of congestive heart failure.

Research, Heart diseases

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