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January 13, 2025Journal of Cardiovascular Development and DiseaseOpen Access

Perioperative Risk: Short Review of Current Approach in Non Cardiac Surgery

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Key result

Preoperative cardiovascular risk assessment with RCRI and APACHE II prevents perioperative morbidity in non-cardiac surgery.

Why the study?

Appropriate preoperative cardiovascular risk assessment is needed to reduce perioperative morbidity and mortality in non-cardiac surgery, though studies differentiating risk by specific factors remain limited.

Design

Review

Authors

ABAndreea Boghean"Dunarea de Jos" University of GalatiCGCristian GuțuMilitary HospitalDFDorel Firescu"Dunarea de Jos" University of Galati

Discussion

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Implication

Supports preoperative risk scoring in non-cardiac surgery; leaves open prospective outcome validation before practice change.

Structured PICO

P
Population
Patients presenting for non-cardiac surgical interventions, particularly those over 45 years with cardiovascular risk factors such as chronic coronary syndrome and history of stroke.
I
Intervention
Preoperative cardiovascular risk assessment using clinical scores (Lee/RCRI, APACHE II, POSSUM, AUB-HAS2).
O
Outcome
Perioperative cardiovascular morbidity and mortality (including myocardial infarction, thrombosis, arrhythmias, heart failure, stroke, or death).

Appropriate preoperative cardiovascular risk assessment using established scoring systems is essential for reducing perioperative morbidity and mortality in patients undergoing non-cardiac surgery.

Limitations

  • Not enough studies that can differentiate the risk according to gender, race, elective versus emergency procedure, or the value of cardiac biomarkers.
  • Lack of studies differentiating risk according to gender, race, elective versus emergency procedure, and the value of cardiac biomarkers.

Cite This Study

Boghean et al. (2025) conducted a review in Perioperative cardiovascular risk in non-cardiac surgery. Preoperative cardiovascular risk assessment using scores like Lee/RCRI and APACHE II is necessary to prevent perioperative morbidity and mortality in non-cardiac surgery.

synapsesocial.com/papers/6a0f50675093bfd8189bcfb9https://doi.org/10.3390/jcdd12010024

Topics

Cardiovascular prevention
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1A meta-analysis comparing the prognostic accuracy of six diagnostic tests for predicting perioperative cardiac risk in patients undergoing major vascular surgery2003 · 285 citations
  2. 2β-Blocker Continuation After Noncardiac Surgery2012 · 75 citations
  3. 3Association Between Postoperative Troponin Levels and 30-Day Mortality Among Patients Undergoing Noncardiac Surgery2012 · 1,128 citations
  4. 4Bridging Antiplatelet Therapy With Cangrelor in Patients Undergoing Cardiac Surgery2012 · 481 citations
  5. 5A New Index for Pre-Operative Cardiovascular Evaluation2019 · 103 citations