Cardiac complications are the major cause of perioperative morbidity and mortality of patients undergoing non-cardiac surgery. This is related to the frequent presence of underlying coronary artery disease. In the last few decades, attention has focused on preoperative cardiac risk assessment that may help to identify patients at increased cardiac risk for whom cardioprotective medication and, when indicated, coronary revascularization may improve perioperative outcome. On the other hand, less attention was given to the role of anaesthesia and monitoring techniques in the cardiac risk management of high-risk patients undergoing non-cardiac surgery. The aim of this review was to summarize the current evidence from published studies on the effect of the type of anaesthesia and monitoring techniques on perioperative cardiac outcome in non-cardiac surgery.
* Semmelweis University, Department of Cardiovascular Surgery, Budapest, Hungary
† University of Pecs School of Medicine, Department of Anaesthesia and Intensive Care, Pecs, Hungary
Correspondence to: M. D. Kertai, Department of Cardiovascular Surgery, Semmelweis University, Varosmajor u 68, H-1122 Budapest, Hungary. E-mail: firstname.lastname@example.org
Accepted for publication 17 March 2006
First published online 24 May 2006