TY - CHAP M1 - Book, Section TI - Preoperative Risk Assessment for Noncardiac Surgery A1 - Panhwar, Muhammad Siyab A1 - Mitter, Sumeet S. A1 - Hendel, Robert C. A2 - Heller, Gary V. A2 - Hendel, Robert C. PY - 2022 T2 - Nuclear Cardiology: Practical Applications, 4e AB - KEY POINTSCardiovascular complications in the perioperative period account for a substantial amount of morbidity and mortality.The initial clinical evaluation of the patient should include a comprehensive history, physical examination, and assessment of current functional status, with the determination of overall clinical risk as assessed by an index, such as the revised cardiac risk index.Patients at low risk, defined by the type of surgery and patient-specific risk, should not undergo routine noninvasive or invasive testing prior to surgery.In moderate- to high-risk preoperative patients, radionuclide myocardial perfusion imaging (MPI) has been shown to effectively risk stratify patients for both short- and long-term cardiac outcomes.Single-photon emission computed tomography (SPECT) MPI has been shown to be useful in several unique surgical cohorts, especially in renal transplant candidates. SN - PB - McGraw Hill LLC CY - New York, NY Y2 - 2024/04/16 UR - accesscardiology.mhmedical.com/content.aspx?aid=1190157441 ER -