Assessment and Management of Ischaemic Heart Disease in Non-Cardiac Surgery.

IF 1.9 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS Heart International Pub Date : 2023-12-01 eCollection Date: 2023-01-01 DOI:10.17925/HI.2023.17.2.19
Holly Morgan, Saad M Ezad, Haseeb Rahman, Kalpa De Silva, Judith S L Partridge, Divaka Perera
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引用次数: 0

Abstract

In the setting of non-cardiac surgery, cardiac complications contribute to over a third of perioperative deaths. With over 230 million major surgeries performed annually, and an increasing prevalence of cardiovascular risk factors and ischaemic heart disease, the incidence of perioperative myocardial infarction is also rising. The recent European Society of Cardiology guidelines on cardiovascular risk in noncardiac surgery elevated practices aiming to identify those at most risk, including biomarker monitoring and stress testing. However the current evidence base on if, and how, the risk of cardiac events can be modified is lacking. This review focuses on patient, surgical and cardiac risk assessment, as well as exploring the data on perioperative revascularization and other risk-reduction strategies.

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非心脏手术中缺血性心脏病的评估和管理。
在非心脏手术中,心脏并发症导致的围手术期死亡占三分之一以上。由于每年进行的大型手术超过 2.3 亿例,心血管风险因素和缺血性心脏病的发病率不断上升,围术期心肌梗死的发病率也在上升。欧洲心脏病学会最近发布的非心脏手术心血管风险指南提升了旨在识别高危人群的做法,包括生物标记物监测和压力测试。然而,目前关于是否可以以及如何改变心脏事件风险的证据还很缺乏。本综述重点关注患者、手术和心脏风险评估,以及探讨围手术期血管重建和其他降低风险策略的数据。
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来源期刊
Heart International
Heart International Medicine-Cardiology and Cardiovascular Medicine
CiteScore
0.90
自引率
0.00%
发文量
9
审稿时长
7 weeks
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