Book ChapterDOI
Perioperative Evaluation and Management of Patients Undergoing Noncardiac Surgery
Ajay Vallakati,Ragavendra R. Baliga,Kim A. Eagle +2 more
- pp 411-428
TLDR
This chapter outlines a systematic algorithm approach for cardiovascular risk assessment to guide perioperative strategies that may improve outcomes.Abstract:
Over 36 million patients undergo surgical procedures in the United States annually [1]. Around one-third of the patients undergoing surgeries have risk factors for or known cardiovascular disease [2]. The risk of perioperative cardiac complications is related to underlying cardiovascular disease burden [3]. Given the prevalence of cardiovascular disease, it is imperative for a practicing physician to perform an individualized evaluation of the surgical patient to provide an accurate preoperative risk assessment, risk stratification, and allow for modification of management strategies. This chapter outlines a systematic algorithm approach for cardiovascular risk assessment to guide perioperative strategies that may improve outcomes.read more
Citations
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Lipid-lowering therapy and in-hospital mortality following major noncardiac surgery.
TL;DR: In this article, the authors examined the association between treatment with lipid-lowering medications and in-hospital mortality following major noncardiac surgery and found that using lipidlowering therapy was associated with lower crude mortality (2.13% vs 3.05%, P<.001).
References
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Journal ArticleDOI
ACC/AHA 2006 Guidelines for the Management of Patients With Valvular Heart Disease
Robert O. Bonow,Blase A. Carabello,Kanu Chatterjee,Antonio C. de Leon,David P. Faxon,Michael D. Freed,William H. Gaasch,Bruce W. Lytle,Rick A. Nishimura,Patrick T. O'Gara,Robert A. O'Rourke,Catherine M Otto,Pravin M. Shah,Jack S. Shanewise +13 more
TL;DR: It is important that the medical profession play a significant role in critically evaluating the use of diagnostic procedures and therapies as they are introduced in the detection, management, and management of diseases.
Journal ArticleDOI
Transcatheter Aortic-Valve Implantation for Aortic Stenosis in Patients Who Cannot Undergo Surgery
Martin B. Leon,Craig R. Smith,Michael J. Mack,D. Craig Miller,Jeffrey W. Moses,Lars G. Svensson,E. Murat Tuzcu,John G. Webb,Gregory P. Fontana,Raj Makkar,David L. Brown,Peter C. Block,Robert A. Guyton,Augusto D. Pichard,Joseph E. Bavaria,Howard C. Herrmann,Pamela S. Douglas,John L. Petersen,Jodi J. Akin,William N. Anderson,Duolao Wang,Stuart J. Pocock +21 more
TL;DR: In patients with severe aortic stenosis who were not suitable candidates for surgery, TAVI, as compared with standard therapy, significantly reduced the rates of death from any cause, the composite end point of deathFrom any cause or repeat hospitalization, and cardiac symptoms, despite the higher incidence of major strokes and major vascular events.
Journal ArticleDOI
Transcatheter versus Surgical Aortic-Valve Replacement in High-Risk Patients
Craig R. Smith,Martin B. Leon,Michael J. Mack,D. Craig Miller,Jeffrey W. Moses,Lars G. Svensson,E. Murat Tuzcu,John G. Webb,Gregory P. Fontana,Raj Makkar,Mathew R. Williams,Todd M. Dewey,Samir R. Kapadia,Vasilis Babaliaros,Vinod H. Thourani,Paul J. Corso,Augusto D. Pichard,Joseph E. Bavaria,Howard C. Herrmann,Jodi J. Akin,William N. Anderson,Duolao Wang,Stuart J. Pocock +22 more
TL;DR: In high-risk patients with severe aortic stenosis, transcatheter and surgical procedures for aorti-valve replacement were associated with similar rates of survival at 1 year, although there were important differences in periprocedural risks.
Journal ArticleDOI
Transcatheter or Surgical Aortic-Valve Replacement in Intermediate-Risk Patients.
Martin B. Leon,Craig R. Smith,Michael J. Mack,Michael J. Mack,Rajendra Makkar,Lars G. Svensson,Susheel Kodali,Vinod H. Thourani,Murat Tuzcu,D. Craig Miller,Howard C. Herrmann,Darshan Doshi,David J. Cohen,Augusto D. Pichard,Samir R. Kapadia,Todd M. Dewey,Vasilis Babaliaros,Wilson Y. Szeto,Mathew R. Williams,Dean J. Kereiakes,Alan Zajarias,Kevin L. Greason,Brian Whisenant,Robert W. Hodson,Jeffrey W. Moses,Alfredo Trento,David L. Brown,William F. Fearon,Philippe Pibarot,Rebecca T. Hahn,Wael A. Jaber,William N. Anderson,Maria Alu,John G. Webb +33 more
TL;DR: In intermediate-risk patients, TAVR was similar to surgical aortic-valve replacement with respect to the primary end point of death or disabling stroke; surgery resulted in fewer major vascular complications and less paravalvular aorta regurgitation.
Journal ArticleDOI
2013 ACC/AHA Guideline on the Assessment of Cardiovascular Risk
David C. Goff,Donald M. Lloyd-Jones,Faha Glen Bennett,Sean Coady,Jennifer G. Robinson,J. Sanford Schwartz,Raymond J. Gibbons,Susan T. Shero,Philip Greenland,Sidney C. Smith,Daniel T. Lackland,Paul D. Sorlie,Daniel Levy,Neil J. Stone +13 more
TL;DR: The ACC and AHA have collaborated with the National Heart, Lung, and Blood Institute and stakeholder and professional organizations to develop guidelines, standards, and policies that promote optimal patient care and cardiovascular health.