Assessment and Management of Ischaemic Heart Disease in Non-Cardiac Surgery

被引：0

作者：

Morgan, Holly ^{[1
]}

Ezad, Saad M. ^{[1
]}

Rahman, Haseeb ^{[1
]}

De Silva, Kalpa ^{[1
]}

Partridge, Judith S. L. ^{[1
,2
]}

Perera, Divaka ^{[1
,2
]}

机构：

[1] Kings Coll London, British Heart Fdn Ctr Res Excellence, Sch Cardiovasc & Metab Med & Sci, London, England

[2] Guys & St Thomas NHS Fdn Trust, London, England

来源：

HEART INTERNATIONAL | 2023年 / 17卷 / 02期

关键词：

Coronary syndrome; ischaemic heart disease; non-cardiac surgery; perioperative; myocardial injury; coronary revascularization; CORONARY-ARTERY-DISEASE; COMPREHENSIVE GERIATRIC ASSESSMENT; HIGH-RISK PATIENTS; MYOCARDIAL-INFARCTION; CARDIAC RISK; VASCULAR-SURGERY; MORTALITY; TRIAL; REVASCULARIZATION; STRATIFICATION;

D O I：

10.17925/HI.2023.17.2.19

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

In the setting of non-cardiac surgery, cardiac complications contribute to over a third of perioperative deaths. With over 230 million major surgeries performed annually, and an increasing prevalence of cardiovascular risk factors and ischaemic heart disease, the incidence of perioperative myocardial infarction is also rising. The recent European Society of Cardiology guidelines on cardiovascular risk in non-cardiac surgery elevated practices aiming to identify those at most risk, including biomarker monitoring and stress testing. However the current evidence base on if, and how, the risk of cardiac events can be modified is lacking. This review focuses on patient, surgical and cardiac risk assessment, as well as exploring the data on perioperative revascularization and other risk-reduction strategies.

引用

页码：19 / 26

页数：8

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