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Preventing Perioperative Cardiovascular Complications-Hunting for Better Outcomes

Jianzhong Sun  
【摘要】:Perioperative cardiovascular complications or major adverse cardiovascular events(MACEs),including cardiac death,myocardial infarction(MI),cardiac arrest,stroke and repeat revascularization,are the leading cause of postoperative death among the aged patients(45 years old)undergoing major noncardiac surgery.Meanwhile,based on the ACC/AHA guidelines on perioperative cardiovascular evaluation and management of patients undergoing noncardiac surgery,many patients undergo preoperative testing for detection of coronary artery disease(CAD)before noncardiac surgery.However,there are critical clinical choices faced by patients,their caregivers and clinicians,regarding the best preoperative treatment for a patient who has positive results from preoperative cardiac testing:medical treatments versus coronary revascularization,the latter includes PCI and CABG.We are going to discuss a fundamental question,perioperative physicians facehow to prepare the patient with significant CAD for major noncardiac surgery or what is the best preoperative treatment for them-a continuing conundrum..
【作者单位】:Thomas Jefferson University
【分类号】:R473.6
【正文快照】:
Preventing Perioperative Cardiovascular Complications-Hunting for Better Outcomes@Jianzhong Sun$Thomas Jefferson University!MD,PhDPerioperative cardiovascular complications or major adverse cardiovascular events(MACEs),including cardiac death,myocardial

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