Preoperative Cardiovascular Evaluation of a Cardiac Patient Coming For Non Cardiac Surgery

Description

Perioperative cardiovascular care  involves preoperative detection and management of cardiovascular disease and prediction of both short- and long-term cardiovascular risk.  The risk is related to patient- and surgery-specific characteristics. Identification of increased risk provides the patient (and surgeon) with information that helps them better understand the benefit-to-risk ratio of a procedure and may lead to interventions that decrease risk. It thereby not only affects anaesthetic perioperative management (e.g. choice of anaesthetic drug and method, type of monitoring, and postoperative care) but also surgical decision-making (e.g. postponement, modification, and cancellation of surgical procedure). The individual stress response and the individual interactions between pharmacological intervention and intra- and postoperative risk factors are highly variable. Recognition of such factors and aggressive attempts at appropriate intervention may reduce overall risk more than preoperative management in isolation. This presentation deals with preoperative evaluation and intervention of a cardiac patient coming for non cardiac surgery.