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Management of cardiac risk for noncardiac surgery

PJ Devereaux, MD, PhD
Steven L Cohn, MD, FACP, SFHM
Kim A Eagle, MD, MACC
Section Editors
Patricia A Pellikka, MD, FACC, FAHA, FASE
Allan S Jaffe, MD
Deputy Editor
Gordon M Saperia, MD, FACC


Cardiovascular complications, such as myocardial infarction, heart failure, or death attributable to coronary heart disease, pose some of the most significant risks to patients undergoing major noncardiac surgery. This topic will discuss potential interventions to reduce this risk in patients at relatively high baseline risk. The following issues of relevance to patients undergoing noncardiac surgery are discussed separately:

The estimation of baseline risk (see "Evaluation of cardiac risk prior to noncardiac surgery")

The approach to perioperative myocardial infarction (see "Perioperative myocardial infarction after noncardiac surgery")

The perioperative evaluation and management of heart failure (see "Perioperative management of heart failure in patients undergoing noncardiac surgery")

Noncardiac surgery in patients with valvular heart disease (see "Noncardiac surgery in patients with aortic stenosis" and "Noncardiac surgery in patients with mitral or aortic regurgitation")

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Literature review current through: Nov 2017. | This topic last updated: Apr 04, 2017.
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