降低非心脏手术围手术期的心脏风险。

IF 4.7 4区 医学 0 MEDICINE, GENERAL & INTERNAL
Minerva medica Pub Date : 2023-12-01 Epub Date: 2023-05-04 DOI:10.23736/S0026-4806.23.08474-4
Bright P Thilagar, Michael R Mueller, Ravindra Ganesh
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引用次数: 0

摘要

对于接受非紧急非心脏手术的患者,必须注意识别主要不良心血管事件风险增加的患者,因为这些事件仍是围手术期发病率和死亡率的重要来源。识别高危患者需要仔细关注风险因素,包括评估功能状态、合并症和用药评估。识别后,为最大限度地降低围术期心脏风险,应通过适当的药物管理、密切监测心血管缺血性事件和优化原有医疗条件等综合措施进行护理。目前有多个学会的指南旨在降低非急诊非心脏手术患者的心血管发病率和死亡率。然而,医学文献的快速发展往往会造成现有证据与最佳实践建议之间的差距。在本综述中,我们旨在协调美国、加拿大和欧洲主要心血管和麻醉学会在指南中提出的建议,并根据新证据提供最新建议。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Perioperative cardiac risk reduction in non cardiac surgery.

For patients undergoing nonemergent noncardiac surgery, care must be taken to identify patients at increased risk of major adverse cardiovascular events, as these remain a significant source of perioperative morbidity and mortality. Identification of at-risk patients requires careful attention to risk factors including assessment of functional status, medical comorbidities, and a medication assessment. After identification, to minimize perioperative cardiac risk, care should be taken through a combination of appropriate medication management, close monitoring for cardiovascular ischemic events, and optimization of pre-existing medical conditions. There are multiple society guidelines that aim to mitigate risk of cardiovascular morbidity and mortality in patients undergoing nonemergent noncardiac surgery. However, the rapid evolution of medical literature often creates gaps between the existing evidence and best practice recommendations. In this review, we aim to reconcile the recommendations made in the guidelines from the major cardiovascular and anesthesiology societies from the USA, Canada, and Europe, and to provide updated recommendations based on new evidence.

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来源期刊
Minerva medica
Minerva medica 医学-医学:内科
CiteScore
6.40
自引率
6.40%
发文量
358
审稿时长
>12 weeks
期刊介绍: Minerva Medica publishes scientific papers on internal medicine. Manuscripts may be submitted in the form of editorials, original articles, review articles, case reports, special articles, letters to the Editor and guidelines. The journal aims to provide its readers with papers of the highest quality and impact through a process of careful peer review and editorial work. Duties and responsibilities of all the subjects involved in the editorial process are summarized at Publication ethics.
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