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- W2034077812 abstract "ORONARY ARTERY disease is the number one cause of death in the United States, often progressing silently until severe disease is present. It is also one of the most frequent causes of death after noncardiac surgery. Therefore, risk stratification of patients with suspected or known coronary artery disease should be performed at the time of presentation for noncardiac surgery. Occasionally, a patient’s condition will necessitate modification of the planned surgical approach or deferment in favor of a trial of medical therapy. Appropriately selected patients will benefit from preoperative coronary interventions, primarily coronary artery bypass surgery (CARG), before undergoing noncardiac surgery. This review will describe the epidemiologic aspects of perioperative myocardial infarction (MI) and cardiac death. Various methods of risk stratification will be discussed, including exercise treadmill testing with and without adjunctive radionuclide imaging, studies of left ventricular function, dipyridamole thallium scintigraphy, silent ischemia monitoring, and transesophageal echocardiography. We will also present a summary of the impact of medical and interventional therapy of coronary artery disease on perioperative cardiac complications. Finally, a general patient management strategy will be outlined." @default.
- W2034077812 created "2016-06-24" @default.
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- W2034077812 date "1991-11-01" @default.
- W2034077812 modified "2023-09-27" @default.
- W2034077812 title "Coronary risk of noncardiac surgery" @default.
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