Key result
Heart failure linked to MACE, operative mortality, and hospital readmission in noncardiac surgery.
Why the study?
Preexisting heart failure is a significant risk factor for major adverse cardiac events in noncardiac surgery, carrying heightened risks of operative mortality and hospital readmission.
This review highlights the heightened perioperative risk in heart failure patients undergoing noncardiac surgery and outlines essential assessment and management strategies.
Warrants enhanced perioperative risk assessment in HF patients; leaves open prospective trials to guide management.
In noncardiac surgery, a preexisting diagnosis of heart failure (HF) serves as a significant risk factor for major adverse cardiac events. Among elderly patients, this risk is heightened, where the risk of operative mortality and hospital readmission for the same operative procedure has been found to be greater in HF patients than it is for patients with coronary artery disease. In this review, we summarize the requisite preoperative evaluation and management of HF patients undergoing noncardiac surgery and highlight the important perioperative monitoring and management considerations.
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Gewarges et al. (2022) conducted a review in Heart failure in noncardiac surgery. Perioperative assessment and management was evaluated. Heart failure is a significant risk factor for major adverse cardiac events, operative mortality, and hospital readmission in patients undergoing noncardiac surgery.
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