PMID: 9884861

Issn Print: 0265-0215

Publication Date: 1998/11/01


Print

Decision analysis for pre-operative interventions in cardiac patients for non-cardiac surgery

H. Metzler

    loading  Checking for direct PDF access through Ovid

Excerpt

Severe valvular disease in patients presenting for noncardiac surgery is a major predictor of increased peri-operative cardiovascular risk, mandating intensive management that may result in delay or cancellation of, or pre-operative intervention before, surgery except in the case of emergency surgery [1].
Symptomatic stenotic lesions (aortic and mitral valve stenosis) are associated with a higher risk of peri-operative cardiac complications than symptomatic regurgitation (aortic or mitral valve insufficiency), which is usually better tolerated in the peri-operative setting or may even be stabilized pre-operatively with medical pretreatment [1].
The valvular disease with the highest risk for the non-cardiac surgical patient is severe aortic stenosis.

Related Topics

    loading  Loading Related Articles