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KMID : 1011920100110040018
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International Journal of Arrhythmia
2010 Volume.11 No. 4 p.18 ~ p.21
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Perioperative cardiovascular evaluation for non-cardiac surgery
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Jang Sung-Won
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Abstract
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Cardiac complications contribute significantly to morbidity and mortality in non-cardiac surgery. The American College of Cardiology (ACC) and the American Heart Association (AHA) have published and revised the “Guidelines on Perioperative Cardiovascular Evaluation and Care for Non-cardiac Surgery”. This article will focus on preoperative assessment of cardiac arrhythmia. To evaluate the perioperative cardiac risk, the following information is needed: whether the patient has any active cardiac conditions or comorbid diseases, the risk of the surgery itself and the patient’s functional status. Most asymptomatic ventricular arrhythmias, including couplets and non-sustained ventricular tachycardia, are not associated with an increase in cardiac complications after non-cardiac surgery. However, patients who develop sustained or non-sustained ventricular tachycardia during the perioperative period should be referred to a cardiologist for further evaluations. Beta-blockers can reduce mortality and the incidence of cardiovascular complications including the development of arrhythmias.
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KEYWORD
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perioperative care, risk assessment, arrhythmia, cardiac
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