This review outlines recommended strategies for preoperative cardiac risk assessment prior to major noncardiac surgery.
Guides clinicians on preoperative cardiac risk strategies before noncardiac surgery; leaves open need for updated prospective validation.
The strategies recommended in the preoperative cardiac risk assessment prior to major vascular and nonvascular surgery are reviewed. The role of clinical evaluation, noninvasive stress testing (exercise test, stress myocardial perfusion imaging, stress echocardiography), and Holter monitoring during the preoperative evaluation are outlined and the value of intervention based on the use of each test is discussed. Recommended strategies to evaluate patients based on their clinical risk markers in addition to the results of the noninvasive risk assessment are presented.
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Miller et al. (1995) studied this question.
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