RT Book, Section
A1 Panhwar, Muhammad Siyab
A1 Mitter, Sumeet S.
A1 Hendel, Robert C.
A2 Heller, Gary V.
A2 Hendel, Robert C.
SR Print(0)
ID 1190157441
T1 Preoperative Risk Assessment for Noncardiac Surgery
T2 Nuclear Cardiology: Practical Applications, 4e
YR 2022
FD 2022
PB McGraw Hill LLC
PP New York, NY
SN 9781264257201
LK accesscardiology.mhmedical.com/content.aspx?aid=1190157441
RD 2024/04/19
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.