3rd GUIDELINE FOR PERIOPERATIVE CARDIOVASCULAR EVALUATION OF THE BRAZILIAN SOCIETY OF CARDIOLOGY

Figures

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  Figure 1. Flowchart of the III Guideline Perioperative Cardiovascular Evaluation

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  Figure 2. Flowchart for the evaluation of patients with hs-Tn in the postoperative period

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  Figure 3. Strategy for the diagnosis of perioperative MI. ECG: Electrocardiogram.

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  Figure 4. Flowchart for the diagnosis of deep venous thrombosis. DVT: deep venous thrombosis.

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  Figure 5. Flowchart for the diagnosis of PTE PTE: pulmonary thromboembolism; Chest AngioCT: computed tomography angiography of the chest. * Ventilation/perfusion scintigraphy; contrasted pulmonary angiotomography; serial Doppler of lower limbs; pulmonary angiography by nuclear magnetic resonance.

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  Figure 6. In-hospital patient algorithm. * < 20 CIGARETTES/DAY: 14 mg patches; 20-30 cigarettes/day: 21 mg patches; 31-40 cigarettes/day: 21 mg + 7 mg patches; > 40 cigarettes/day: 21 mg + 14 mg patches. For all cases, consider the association with nicotine gum or tablet of 4 mg ad libitum. † consider titration of transdermal nicotine dose (avoid doses above 42 mg/day) or substitute for varenicline. ‡ outpatient return in a maximum of one month, with follow-up for a time not lesser than one month. Reduce dose of NRT according to the guidelines applicable to general situations.