TY  - CHAP
M1  - Book, Section
TI  - The Patient With Cardiovascular Disease
A1  - Olson, Ronald P.
A1  - Thompson, Annemarie
A2  - Longnecker, David E.
A2  - Mackey, Sean C.
A2  - Newman, Mark F.
A2  - Sandberg, Warren S.
A2  - Zapol, Warren M.
PY  - 2017
T2  - Anesthesiology, 3e
AB  - KEY  POINTSPerioperative  cardiac  events  vary  from  brief  asymptomatic  injury  to  irreversible  infarct.  They  may  be  a  result  of  acute  plaque  ruptures  or  subtle  imbalances  of  supply  and  demand.  All  degrees  and  mechanisms  may  result  in  postoperative  morbidity;  thus,  perioperative  cardiac  care  requires  attention  to  many  factors,  including  energy  expenditure,  circulation,  inflammation,  nutrition,  plaque  stability,  and  endothelial  function.Preoperative  cardiac  testing  is  usually  not  needed  in  patients  who  have  good  functional  status  or  are  undergoing  low-risk  procedures.  Further  testing  is  unlikely  to  change  management,  and  these  patients  may  proceed  directly  to  surgery.The  history  and  physical  examination,  reports  of  previous  investigations,  and  a  relatively  few  specifically  indicated  tests  are  often  adequate  to  determine  the  anesthetic  plan  even  for  patients  in  high-risk  situations.Anesthesiologists  should  maintain  an  active  role  in  preoperative  assessment.  Understanding  how  complex  medical  disease  influences  preoperative  management  will  benefit  the  patient’s  preoperative  experience  and  postoperative  outcome,  and  anesthesiologists  are  well  positioned  to  lead  future  research  in  quality  improvement,  safety,  and  best  practices  in  preoperative  medicine.  
SN  - 
PB  - McGraw-Hill Education
CY  - New York, NY
Y2  - 2024/04/19
UR  - accessanesthesiology.mhmedical.com/content.aspx?aid=1144112003
ER  -