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Evaluation cardiologique préopératoire avant chirurgie non cardiaque: du choix cornélien a l'arbre décisionnel [Pre-operative cardiac assessment in non-cardiac surgery: a frequent dilemma simplified by a decision tree].
Revue Médicale Suisse
Publication types: English Abstract ; Journal Article Publication Status: ppublish
In patients undergoing non-cardiac surgery, cardiac events are the most common cause of perioperative morbidity and mortality. It is often difficult to choose adequate cardiologic examinations before surgery. This paper, inspired by the guidelines of the European and American societies of cardiology (ESC, AHA, ACC), discusses the place of standard ECG, echocardiography, treadmill or bicycle ergometer and pharmacological stress testing in preoperative evaluations. The role of coronary angiography and prophylactic revascularization will also be discussed. Finally, we provide a decision tree which will be helpful to both general practitioners and specialists.
Decision Trees, Electrocardiography, Heart Diseases/epidemiology, Heart Diseases/mortality, Heart Function Tests, Humans, Intraoperative Care/standards, Intraoperative Complications/classification, Intraoperative Complications/epidemiology, Postoperative Complications/prevention & control, Preoperative Care/standards
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