Sayyed Rameez, Alam Mian Bilal
Department of Adult Cardiovascular Medicine, Joan C. Edwards School of Medicine, Marshall University, 1249 15th Street, Suite 4000, Huntington, WV 25701, USA.
Department of Adult Cardiovascular Medicine, Joan C. Edwards School of Medicine, Marshall University, 1249 15th Street, Suite 4000, Huntington, WV 25701, USA.
Clin Podiatr Med Surg. 2019 Jan;36(1):103-113. doi: 10.1016/j.cpm.2018.09.001. Epub 2018 Oct 30.
The ability to identify and guide evaluation of the patient with cardiac disease represents a necessary skill for success in surgery of the foot and ankle. Common risk factors, such as diabetes and peripheral arterial disease, are encountered in podiatric practice. Recognition of patients at risk for cardiac disease and a predilection for sustaining a major adverse cardiac event perioperatively advocates for preoperative cardiology consultation. Identification of risk factors, assessment of functional capacity, and appropriate work-up mitigate any untoward cardiac events surrounding surgery. This optimization results from appropriate medical and interventional treatment plans directed at minimizing or eliminating identified risks factors.
识别和指导对心脏病患者进行评估的能力是足踝外科手术成功所必需的技能。在足病诊疗中会遇到常见的风险因素，如糖尿病和外周动脉疾病。认识到有心脏病风险以及在围手术期易发生重大不良心脏事件的患者，主张术前进行心脏科会诊。识别风险因素、评估功能能力并进行适当的检查可减轻手术周围的任何不良心脏事件。这种优化源于旨在最小化或消除已识别风险因素的适当医疗和介入治疗计划。
