{"title":"Anaesthesia for patients with cardiac disease undergoing non-cardiac surgery","authors":"Hannah Lees, Mike Charlesworth","doi":"10.1016/j.mpaic.2024.01.002","DOIUrl":null,"url":null,"abstract":"<div><p>Cardiovascular comorbidities are amongst the most important modifiable risk factors in patients undergoing non-cardiac surgery. Likewise, cardiac complications are a leading cause of all perioperative morbidity and mortality. Major adverse events include acute myocardial ischaemia, infarction, congestive cardiac failure, arrhythmias, and cardiac arrest. Preoperative assessment and planning aims to minimize these risks. Although testing is important, it must be rationalized lest resources are misused and undue delays ensue. Current thinking in preoperative therapy, intraoperative management and postoperative care is discussed. Although most patients with cardiac disease have ischaemic heart disease, other specific cardiac conditions and principles of their management are briefly considered.</p></div>","PeriodicalId":45856,"journal":{"name":"Anaesthesia and Intensive Care Medicine","volume":"25 4","pages":"Pages 256-259"},"PeriodicalIF":0.2000,"publicationDate":"2024-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Anaesthesia and Intensive Care Medicine","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S147202992400002X","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"ANESTHESIOLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
Cardiovascular comorbidities are amongst the most important modifiable risk factors in patients undergoing non-cardiac surgery. Likewise, cardiac complications are a leading cause of all perioperative morbidity and mortality. Major adverse events include acute myocardial ischaemia, infarction, congestive cardiac failure, arrhythmias, and cardiac arrest. Preoperative assessment and planning aims to minimize these risks. Although testing is important, it must be rationalized lest resources are misused and undue delays ensue. Current thinking in preoperative therapy, intraoperative management and postoperative care is discussed. Although most patients with cardiac disease have ischaemic heart disease, other specific cardiac conditions and principles of their management are briefly considered.
期刊介绍：
Anaesthesia and Intensive Care Medicine, an invaluable source of up-to-date information, with the curriculum of both the Primary and Final FRCA examinations covered over a three-year cycle. Published monthly this ever-updating text book will be an invaluable source for both trainee and experienced anaesthetists. The enthusiastic editorial board, under the guidance of two eminent and experienced series editors, ensures Anaesthesia and Intensive Care Medicine covers all the key topics in a comprehensive and authoritative manner. Articles now include learning objectives and eash issue features MCQs, facilitating self-directed learning and enabling readers at all levels to test their knowledge. Each issue is divided between basic scientific and clinical sections. The basic science articles include anatomy, physiology, pharmacology, physics and clinical measurement, while the clinical sections cover anaesthetic agents and techniques, assessment and perioperative management. Further sections cover audit, trials, statistics, ethical and legal medicine, and the management of acute and chronic pain.
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