This module focuses on the evaluation and management of cardiac risk in patients undergoing noncardiac surgery. A patient’s risk of a perioperative cardiac event is related to their preoperative condition, the presence of comorbidities known to affect cardiac outcomes, and the nature of the surgical procedure. The elderly are especially at increased risk of perioperative cardiac events and are four times more likely to need surgical interventions than the rest of the population. Several evidence-based guidelines on perioperative cardiac risk assessment and management exist but need to be updated.
- Assess cardiac risk using validated risk calculators (R1, R2, R3)
- Perform preoperative cardiac testing in appropriate patients (R2, R3)
- Prescribe medications shown to reduce perioperative cardiovascular events (R2, R3)
- Appropriately refer patients for revascularization (R2, R3)
- Appropriately manage post-PCI patients in the perioperative period (R3)
Download these PRACTICE CASES. They will guide your learning during this module.
This article (http://www.ccjm.org/topics/cardiology/single-article-page/update-in-perioperative-cardiac-medicine/721b6deee01be2711b78365770e78bd2.html) summarizes some important studies done in the last year.