Preoperative Cardiac Risk Assessment for Noncardiac Surgery in Patients with Heart Failure.

23:46 EDT 27th April 2015 | BioPortfolio

Summary of "Preoperative Cardiac Risk Assessment for Noncardiac Surgery in Patients with Heart Failure."

The aging population and an epidemic of heart failure have led to an increasing volume of noncardiac surgical procedures being performed in patients with heart failure. Knowledge pertaining to perioperative risk stratification and management among this diverse and complex cohort of patients has therefore become increasingly important. Most available data regarding the management of patients with heart disease undergoing noncardiac surgery is specific to patients with ischemic heart disease, and focuses on the prevention of ischemia and its subsequent complications. This review instead specifically explores the available data regarding the epidemiology and outcomes of the surgical patient with heart failure, with a focus on risk stratification and perioperative management.


Division of Cardiology, Tufts University School of Medicine, Tufts Medical Center, Box 244, South Building, 800 Washington St., Boston, MA, 02111, USA,

Journal Details

This article was published in the following journal.

Name: Current heart failure reports
ISSN: 1546-9549


PubMed Articles [46988 Associated PubMed Articles listed on BioPortfolio]

Prediction of Perioperative Cardiac Events through Preoperative NT-pro-BNP and cTnI after Emergent Non-Cardiac Surgery in Elderly Patients.

Clinical risk stratification has an important function in preoperative evaluation of patients at risk for cardiac events prior to non-cardiac surgery. The aim of this study was to determine whether th...

Value of Coronary Computed Tomography Angiography in Ruling out Coronary Artery Disease Before Intermediate- and High-risk Non-cardiac Surgery.

Objective To assess the value of preoperative coronary computed tomographic angiography(CCTA)in the detection of coronary artery disease(CAD)in patients planned to undergo non-cardiac surgery at inter...

Proposed research plan for the derivation of a new cardiac risk index.

The Revised Cardiac Risk Index (RCRI) was incorporated into the American College of Cardiology/American Heart Association (ACC/AHA) recommendations for the preoperative evaluation of the cardiac patie...

Preoperative hydroperoxide concentrations are associated with a risk of postoperative complications after cardiac surgery.

This study aimed to assess whether preoperative oxidative stress levels can predict postoperative complications in patients undergoing cardiac surgery. Ninety-five cardiac surgery patients received an...

124 Value of Myocardial Perfusion Imaging (MPI) in Preoperative Renal Transplant Assessment. Experience of the University Hospital of Wales.

Although national guidance does not recommend screening of coronary artery disease in asymptomatic patients with established renal failure, cardiovascular disease is a leading cause of death in patien...

Clinical Trials [7737 Associated Clinical Trials listed on BioPortfolio]

Peri-Operative And Long-Term Cardioprotective Properties Of Sevoflurane In High Risk Patients Undergoing Non-Cardiac Surgery

Non-cardiac surgery is associated with significant cardiac morbidity and mortality. Volatile anesthetics have a cardioprotective effects which results in preservation of left ventricular f...

Efficacy of Preoperative Electrocardiography

A preoperative electrocardiogram (ECG) is nearly routinely performed by anesthesiologists in elderly non-cardiac surgery patients as part of pre-anesthesia evaluation. However, the added v...

Interest of the Not Invasive Ventilation Used in Meadow and Post-operative of Cardiac Surgery

After cardiac surgery, many complications can arise, in particular at the cardiac and lung level and it is true especially as the patient is with comorbidity. A patient will be considered ...

Vascular Events In Noncardiac Surgery Patients Cohort Evaluation Study (VISION)

The investigators' study has 4 primary objectives. Among patients undergoing noncardiac surgery the investigators will determine: (1) the incidence of major perioperative vascular events;...

Anticipation of the Difficult Airway: the Preoperative Airway Assessment Form

The purpose of this study is to see if our experimental preoperative airway assessment form is a better indicator of difficult airway as compared to the anesthesia record that is presently...

Medical and Biotech [MESH] Definitions

A short-acting hypnotic-sedative drug with anxiolytic and amnestic properties. It is used in dentistry, cardiac surgery, endoscopic procedures, as preanesthetic medication, and as an adjunct to local anesthesia. The short duration and cardiorespiratory stability makes it useful in poor-risk, elderly, and cardiac patients. It is water-soluble at pH less than 4 and lipid-soluble at physiological pH.

Surgery which could be postponed or not done at all without danger to the patient. Elective surgery includes procedures to correct non-life-threatening medical problems as well as to alleviate conditions causing psychological stress or other potential risk to patients, e.g., cosmetic or contraceptive surgery.

A synthetic nondepolarizing blocking drug. The actions of gallamine triethiodide are similar to those of TUBOCURARINE, but this agent blocks the cardiac vagus and may cause sinus tachycardia and, occasionally, hypertension and increased cardiac output. It should be used cautiously in patients at risk from increased heart rate but may be preferred for patients with bradycardia. (From AMA Drug Evaluations Annual, 1992, p198)

Care given during the period prior to undergoing surgery when psychological and physical preparations are made according to the special needs of the individual patient. This period spans the time between admission to the hospital to the time the surgery begins. (From Dictionary of Health Services Management, 2d ed)

Devices which mechanically oxygenate venous blood extracorporeally. They are used in combination with one or more pumps for maintaining circulation during open heart surgery and for assisting the circulation in patients seriously ill with some cardiac and pulmonary disorders. (UMDNS, 1999)

Search BioPortfolio:

Relevant Topic

Latest News Clinical Trials Research Drugs Reports Corporate
An anesthesiologist (US English) or anaesthetist (British English) is a physician trained in anesthesia and perioperative medicine. Anesthesiologists are physicians who provide medical care to patients in a wide variety of (usually acute) situations. ...


Searches Linking to this Article