Práctica actual y recomendaciones para la valoración cardiaca preoperatoria en pacientes con cirugía no cardiaca
Current Practice and Recommendation for Presurgical Cardiac Evaluation in Patients Undergoing Noncardiac Surgeries.
Padma S, Sundaram P S.
World J Nucl Med [serial online] 2014 [cited 2014 Aug 12];13:6-15.
Abstract
The increasing number of patients with coronary artery disease (CAD) undergoing major noncardiac surgery justifies guidelines concerning preoperative cardiac evaluation. This is compounded by increasing chances for a volatile perioperative period if the underlying cardiac problems are left uncorrected prior to major noncardiac surgeries. Preoperative cardiac evaluation requires the clinician to assess the patient's probability to have CAD, severity and stability of CAD, placing these in perspective regarding the likelihood of a perioperative cardiac complication based on the planned surgical procedure. Coronary events like new onset ischemia, infarction, or revascularization, induce a high-risk period of 6 weeks, and an intermediate-risk period of 3 months before performing noncardiac surgery. This delay is unwarranted in cases where surgery is the mainstay of treatment. The objective of this review is to offer a comprehensive algorithm in the preoperative assessment of patients undergoing noncardiac surgery and highlight the importance of myocardial perfusion imaging in risk stratifying these patients.
Keywords: Cardiac risk stratification, coronary artery disease, heart, noncardiac surgeries, stress myocardial perfusion imaging, surgery
http://www.wjnm.org/temp/WorldJNuclMed1316-4797246_131932.pdf
http://www.wjnm.org/downloadpdf.asp?issn=1450-1147;year=2014;volume=13;issue=1;spage=6;epage=15;aulast=Padma;type=2
http://www.wjnm.org/text.asp?2014/13/1/6/138568
Atentamente
Anestesiología y Medicina del Dolor
www.anestesia-dolor.org
Current Practice and Recommendation for Presurgical Cardiac Evaluation in Patients Undergoing Noncardiac Surgeries.
Padma S, Sundaram P S.
World J Nucl Med [serial online] 2014 [cited 2014 Aug 12];13:6-15.
Abstract
The increasing number of patients with coronary artery disease (CAD) undergoing major noncardiac surgery justifies guidelines concerning preoperative cardiac evaluation. This is compounded by increasing chances for a volatile perioperative period if the underlying cardiac problems are left uncorrected prior to major noncardiac surgeries. Preoperative cardiac evaluation requires the clinician to assess the patient's probability to have CAD, severity and stability of CAD, placing these in perspective regarding the likelihood of a perioperative cardiac complication based on the planned surgical procedure. Coronary events like new onset ischemia, infarction, or revascularization, induce a high-risk period of 6 weeks, and an intermediate-risk period of 3 months before performing noncardiac surgery. This delay is unwarranted in cases where surgery is the mainstay of treatment. The objective of this review is to offer a comprehensive algorithm in the preoperative assessment of patients undergoing noncardiac surgery and highlight the importance of myocardial perfusion imaging in risk stratifying these patients.
Keywords: Cardiac risk stratification, coronary artery disease, heart, noncardiac surgeries, stress myocardial perfusion imaging, surgery
http://www.wjnm.org/temp/WorldJNuclMed1316-4797246_131932.pdf
http://www.wjnm.org/downloadpdf.asp?issn=1450-1147;year=2014;volume=13;issue=1;spage=6;epage=15;aulast=Padma;type=2
http://www.wjnm.org/text.asp?2014/13/1/6/138568
Atentamente
Anestesiología y Medicina del Dolor
www.anestesia-dolor.org
No hay comentarios:
Publicar un comentario