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Cardiac Patient Evaluation and Optimization for Non-Cardiac Surgery

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Interventional pain and spine Centre
Interventional pain and spine Centre

1. The document discusses preoperative cardiac evaluation and risk stratification of patients undergoing non-cardiac surgery based on ACC/AHA guidelines. 2. It outlines 5 factors to consider for risk stratification: recency of cardiac procedures or evaluation, clinical predictors of risk, functional status, and risk of the planned surgery. 3. Based on risk assessment, the document recommends different preoperative testing like ECG, stress testing, echocardiogram or angiogram and outlines perioperative therapies like beta blockers to optimize patient condition and reduce cardiac risk during surgery.

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Cardiac Patient For Non Cardiac Surgery -Preoperative Evaluation Dr Pankaj N Surange MBBS,MD,FICMR Graded Specialist Anesthesia Artemis Health Institute
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GOALS ,[object Object],[object Object],[object Object],[object Object]
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PREOPERATIVE CARDIAC EVALUATION ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
1-CORONARY REVASCULARISATION ,[object Object],[object Object],[object Object],[object Object],[object Object]
2-Coronary evaluation ,[object Object],[object Object],[object Object],[object Object],No further cardiac testing is necessary
3-Clinical predictors ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
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4-Functional Capacity ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],1 MET = 3.5 ml/kg/mt VO2 >10 METs-Excellent 7-10 good 4-7 moderate ≤ 4 poor
5-Surgical risk ,[object Object],[object Object],[object Object],[object Object],[object Object]
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9 step algorithm
9 step algorithm
9 step algorithm 9 step algorithm
PREOP TESTING ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
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PHARMACOLOGICAL STRESS TEST ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
ECHOCARDIOGRAPHY ,[object Object],[object Object],[object Object],[object Object]
CORONARY ANGIOGRAPHY ,[object Object],[object Object],[object Object],[object Object]
PERIOP THERAPY ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
OTHER THERAPIES ,[object Object],[object Object],[object Object]
 

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