Preoperative Assessment of Cardiac Patients Undergoing Noncardiac Surgical Procedures

WILLIAM K. FREEMAN, RAYMOND J. GIBBONS, CLARENCE SHUB

Research output: Contribution to journalReview articlepeer-review

35 Scopus citations

Abstract

A careful clinical history and physical examination are the most important components of the preoperative assessment of the cardiac patient who is to undergo a noncardiac surgical procedure. From these factors and the nature of the surgical procedure planned, a reasonable estimate of potential cardiac risk can be formulated to guide judicious preoperative testing for further definition of potentially high-risk patients. The potential risks associated with an invasive cardiac procedure or surgical intervention must always be considered along with the potential benefits of such a procedure in an attempt to reduce the cardiac risk of noncardiac operations. Aggressive and conscientious preoperative assessment and perioperative care of the high-risk patient by the concerted efforts of the medical consultant, anesthesiologist, and surgeon may substantially diminish cardiac-related morbidity and mortality during noncardiac surgical procedures.

Original languageEnglish (US)
Pages (from-to)1105-1117
Number of pages13
JournalMayo Clinic proceedings
Volume64
Issue number9
DOIs
StatePublished - 1989

ASJC Scopus subject areas

  • Medicine(all)

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