RT Book, Section
A1 Shah, Sanjiv J.
A1 Crawford, Michael H.
A2 Crawford, Michael H.
SR Print(0)
ID 57952139
T1 Chapter 10. Evaluation & Treatment of the Perioperative Patient
T2 CURRENT Diagnosis & Treatment Cardiology, 4e
YR 2014
FD 2014
PB The McGraw-Hill Companies
PP New York, NY
SN 978-0-07-180127-0
LK accesscardiology.mhmedical.com/content.aspx?aid=57952139
RD 2022/08/12
AB The  prevalence  of  cardiovascular  disease  and  the  death  rate  associated  with  it  rise  sharply  after  age  45,  an  age  when  the  incidence  of  noncardiac  surgeries  is  also  increasing,  and  approximately  one-third  of  the  25  million  surgical  procedures  done  annually  are  performed  in  patients  with  cardiovascular  diseases.  Cardiac  deaths  and  nonfatal  myocardial  infarction  (MI)  occur  in  about  0.2%  of  all  cases  of  general  anesthesia  and  surgery  (about  500,000  events  annually).  Cardiac  deaths  account  for  approximately  40%  of  all  perioperative  mortality,  the  same  proportion  as  sepsis,  although  in  many  cases  the  cause  of  death  is  multisystem  organ  failure.  These  figures  underestimate  the  total  effect  of  cardiovascular  diseases  because  another  500,000  persons  a  year  suffer  nonfatal  MI,  unstable  angina,  or  congestive  heart  failure  (CHF)  perioperatively,  prolonging  both  their  time  in  the  intensive  care  unit  and  the  total  hospital  stay.