Key result
Updated guidelines emphasize systematic cardiac evaluation and targeted medical therapy to reduce noncardiac surgical risk.
Why the study?
Updated guidelines were needed due to conflicting interpretations of recent studies, especially DECREASE trials, on perioperative cardiac risk evaluation and management in noncardiac surgery patients.
May support guideline-directed preoperative evaluation to lower perioperative risks; leaves open prospective validation of specific protocols.
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Dursun et al. (2015) conducted a review in Preoperative cardiac risk in noncardiac surgery. Preoperative cardiac evaluation and management was evaluated. Updated 2014 guidelines emphasize systematic preoperative cardiac evaluation, functional capacity assessment, and tailored pharmacological management to reduce perioperative morbidity and mortality in noncardiac surgery.
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