Editorial
Volume 7 Issue 11 - 2020
Perioperative Cardiac Assessment for Non-cardiac Surgery: Black Hole of Cardiology Practice?
Sukhvinder Singh
Associate Director (Cardiac Sciences), Max Superspeciality Hospital, Shalimar Bagh, New Delhi, India
*Corresponding Author: Sukhvinder Singh, Associate Director (Cardiac Sciences), Max Superspeciality Hospital, Shalimar Bagh, New Delhi, India.
Received: September 28, 2020; Published: October 22, 2020




Keywords: Perioperative; Cardiac Evaluation; Cardiac Assessment; Preoperative; Myocardial Ischemia; Myocardial Infarction

Abbreviations

LVF: Left Ventricular Failure; STEMI: ST Elevation Myocardial Infarction; CK: Creatine Kinase; CK-MB: Creatine Kinase- Myocardial Band; CVD: Cardiovascular Disease; RCRI: Revised Cardiac Index Score; METs: Metabolic Equivalents; MINS: Myocardial Ischemia After Non-Cardiac Surgery; eGFR: Estimated Glomerular Filtration Rate; CAD: Coronary Artery Disease; PAD: Peripheral Artery Disease; CHF: Congestive Heart Failure; LBBB: Left Bundle Branch Block; BNP: Brain Natriuretic Peptide

When a cardiologist gets a call to assess cardiac status of a patient for non-cardiac surgery, what are the goals of assessment and how to assess? Do we really know the answer?

References

  1. Fleisher LA., et al. “2014 ACC/AHA guideline on perioperative cardiovascular evaluation and management of patients undergoing noncardiac surgery: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines”. Journal of the American College of Cardiology 64 (2014): e77-e137.
  2. Kristensen SD., et al. “2014 ESC/ESA Guidelines on non-cardiac surgery: cardiovascular assessment and management”. European Heart Journal 35 (2014): 2383-2431.
  3. Wiklund RA., et al. “Activities of Daily Living and Cardiovascular Complications Following Elective, Noncardiac Surgery”. Yale Journal of Biology and Medicine 74 (2001): 75-87.
  4. Biccard BM. “Relationship between the inability to climb two flights of stairs and outcome after major non-cardiac surgery: implications for the pre-operative assessment of functional capacity”. Anaesthesia 60 (2005): 588-593.
  5. Myocardial Injury after Noncardiac Surgery. “A Large, International, Prospective Cohort Study Establishing Diagnostic Criteria, Characteristics, Predictors, and 30-day Outcomes. The Vascular events In noncardiac Surgery patients cohort evaluation (VISION) Writing Group, on behalf of The Vascular events In noncardiac Surgery patients cohort evaluation (VISION) Investigators”. Anesthesiology 120 (2014): 564-578.
  6. Beattie WS., et al. “Use of clinically based troponin underestimates the cardiac injury in non-cardiac surgery: a single-centre cohort studying 51,701 consecutive patients”. The Canadian Journal of Anesthesia 59 (2012): 1013-1022.
  7. Puelacher C., et al. “Perioperative Myocardial Injury After Noncardiac Surgery Incidence, Mortality, and Characterization”. Circulation 137 (2018): 1221-1232.
  8. Parashar A., et al. “Percutaneous Intervention for Myocardial Infarction After Noncardiac Surgery. Patient Characteristics and Outcomes”. Journal of the American College of Cardiology 68 (2016): 329-338.
  9. Priebe HJ. “Perioperative myocardial infarction-aetiology and prevention”. British Journal of Anaesthesia 95 (2005): 3-19.
  10. Landesberg G., et al. “Myocardial Infarction After Vascular Surgery: The Role of Prolonged, Stress-Induced, ST Depression-Type Ischemia”. Journal of the American College of Cardiology 37 (2001): 1839-1845.
  11. Landesberg G., et al. “Paradox’ of troponin elevations after non-cardiac surgery”. British Journal of Anaesthesia 114 (2015): 863-865.
  12. Duceppe E., et al. “Canadian Cardiovascular Society Guidelines on Perioperative Cardiac Risk Assessment and Management for Patients Who Undergo Noncardiac Surgery”. The Canadian Journal of Cardiology 33 (2017): 17-32.
Citation: Sukhvinder Singh. “Perioperative Cardiac Assessment for Non-cardiac Surgery: Black Hole of Cardiology Practice?”. EC Cardiology 7.11 (2020): 16-19.

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