Preoperative risk assessment in patients with peripheral vascular disease referred for noncardiac surgery

T. A. Holly*, R. C. Hendel

*Corresponding author for this work

Research output: Contribution to journalReview article

1 Scopus citations

Abstract

Patients with peripheral vascular disease are at increased risk for perioperative cardiac events. Various strategies for risk stratification have been recommended to optimize patient care. Preoperative cardiac evaluation involves integrating knowledge of the risk of the surgical procedure with known clinical factors and the results of noninvasive testing. Preoperative assessment should: a) identify patients at extremely high risk for whom the planned surgery should be canceled or altered; b) identify patients with correctable medical problems who may benefit from medical optimization or coronary revascularization to try to decrease risk; c) determine which patients may benefit from invasive or intensive monitoring; and d) assess long-term cardiac risk, as this may affect the choice of procedure. A review of the literature on this topic is provided, and a patient management algorithm is presented.

Original languageEnglish (US)
Pages (from-to)26-36
Number of pages11
JournalCardiology in review
Volume6
Issue number1
DOIs
StatePublished - Jan 1 1998

Keywords

  • Coronary artery disease
  • Preoperative
  • Prognosis
  • Vascular surgery

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Fingerprint Dive into the research topics of 'Preoperative risk assessment in patients with peripheral vascular disease referred for noncardiac surgery'. Together they form a unique fingerprint.

  • Cite this