Share this article on:

Preoperative cardiovascular assessment in noncardiac surgery: an update

De Hert, Stefan G

European Journal of Anaesthesiology: June 2009 - Volume 26 - Issue 6 - p 449–457
doi: 10.1097/EJA.0b013e3283297512
Review

Cardiac complications are a major cause of perioperative morbidity and mortality. These are caused by either myocardial ischaemia or acute coronary thrombosis. The preoperative assessment aims to collect information on the extent and the stability of the cardiovascular disease in order to predict the patient's risk for developing perioperative cardiac complications. This assessment allows measures to be taken that aim to reduce such risks. The present review summarizes the current state of knowledge on the preoperative assessment of the cardiac patient scheduled for noncardiac surgery.

Department of Anesthesiology, Division of Cardiothoracic and Vascular Anesthesiology, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands

Received 14 January, 2009

Accepted 16 January, 2009

Correspondence to Stefan G. De Hert, MD, PhD, Professor of Anesthesiology and Chair of the Division, Department of Anesthesiology, Division of Cardiothoracic and Vascular Anesthesiology, Academic Medical Center, University of Amsterdam, Meibergdreef 9, 1100DD Amsterdam, The Netherlands Tel: +31 20 5662533; fax: +31 20 6979441; e-mail: s.g.dehert@amc.uva.nl

© 2009 European Society of Anaesthesiology