Department of Vascular Surgery, Erasmus Medical Center, 's-Gravendijkwal 230, 3015 CE, Rotterdam, The Netherlands.
Curr Cardiol Rep. 2010 Jul;12(4):286-94. doi: 10.1007/s11886-010-0116-7.
During noncardiac surgery, patients may be at risk for developing cardiac events, related to underlying coronary artery disease. Therefore, perioperative cardiac complications remain an area of clinical interest and concern in patients undergoing noncardiac surgery. Over the years, perioperative risk assessment has evolved significantly to detect surgical patients with myocardium at risk due the coronary artery disease. In addition, many efforts have been made to reduce the cardiac risk of patients undergoing noncardiac surgery. The present review article will focus on the definition of high cardiac risk surgery and will discuss patient-related cardiac risk factors. In addition, the preoperative cardiac tests available to detect patients with coronary artery disease and strategies to reduce perioperative cardiac risk, as recommended in most recent perioperative guidelines, will be outlined.
在非心脏手术期间，患者可能面临与潜在冠状动脉疾病相关的心脏事件风险。因此，围手术期心脏并发症仍然是接受非心脏手术患者临床关注和关心的领域。多年来，围手术期风险评估有了显著的发展，以检测由于冠状动脉疾病而处于心肌风险的手术患者。此外，已经做出了许多努力来降低接受非心脏手术患者的心脏风险。本文综述将重点讨论高心脏风险手术的定义，并讨论与患者相关的心脏危险因素。此外，还将概述可用于检测冠状动脉疾病患者的术前心脏检查以及根据大多数最新围手术期指南推荐的降低围手术期心脏风险的策略。
