Key result
Comprehensive preoperative evaluation and medication review manage hemodynamic risks for cardiac patients undergoing noncardiac surgery.
Preoperative evaluation of cardiac patients undergoing noncardiac surgery requires comprehensive assessment, including a meticulous medication review, to anticipate and manage potential hemodynamic alterations.
May support thorough preoperative medication review in cardiac patients; leaves open randomized validation of outcome benefits.
Evaluation of the cardiac patient scheduled for noncardiac surgery should include a carefully taken history and a complete physical examination, with electrocardiogram, chest x-ray, urinalysis, and routine blood determinations. In addition to the symptoms of heart disease, the history should include a meticulous review of all the drugs the patient is taking. An increasing number of medications have been found to alter the cardiac hemodynamics during and after operation.
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Peter C. Gazes (1971) conducted a review in Cardiac patients scheduled for noncardiac surgery. Comprehensive preoperative evaluation, including a meticulous medication review, is recommended for cardiac patients scheduled for noncardiac surgery to manage hemodynamic risks.
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