Perioperative Risk: Short Review of Current Approach in Non Cardiac Surgery

Journal of Cardiovascular Development and Disease, Journal Year: 2025, Volume and Issue: 12(1), P. 24 - 24

Published: Jan. 13, 2025

The rate of major surgery is constantly increasing worldwide, and approximately 85% are non-cardiac surgery. More than half patients over 45 years presenting for surgical interventions have cardiovascular risk factors, the most common: chronic coronary syndrome history stroke. preoperative determined by comorbidities, clinical condition before intervention, urgency, duration or type. Cardiovascular scores necessary tools to prevent perioperative morbidity mortality frequently used Lee/RCRI (Revised Cardiac Risk Index), APACHE II (Acute Physiology Chronic Health Evaluation), POSSUM (Physiological Operative Severity Score enumeration Mortality Morbidity), American University Beirut (AUB)-HAS2. To reduce risk, there a need an appropriate assessment, as well choice type timing intervention. Quantification low, intermediate, high useful in identifying group who at complications such myocardial infarction, thrombosis, arrhythmias, heart failure, stroke even death. Currently not enough studies that can differentiate according gender, race, elective versus emergency procedure, value cardiac biomarkers.

Language: Английский

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Is Myocardial Work a Surrogate Marker for Functional Coronary Artery Stenosis or a Marker of Coronary Atherosclerosis?

Echocardiography, Journal Year: 2025, Volume and Issue: 42(1)

Published: Jan. 1, 2025

Language: Английский

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Ischemia with Non-Obstructive Coronary Arteries (INOCA) in the 2024 European Society of Cardiology (ESC) Guidelines for the management of chronic coronary syndromes

European Heart Journal Acute Cardiovascular Care, Journal Year: 2025, Volume and Issue: unknown

Published: Jan. 16, 2025

Abstract Background Chronic coronary syndromes (CCS) occur commonly in the absence of flow-limiting epicardial stenoses. Ischemia or angina with no obstructive arteries (INOCA/ANOCA) may be caused by microvascular disease, artery spasm, myocardial bridging, diffuse atherosclerosis, a combination disorders. Methods & Results We highlight new recommendations 2024 European Society Cardiology (ESC) guidelines on CCS relevant to diagnosis and management INOCA/ANOCA. The place emphasis consideration INOCA/ANOCA early during cardiovascular risk stratification initial diagnostic workup for chest pain. There is class I recommendation availability invasive function testing (CFT) at time angiography, when mechanisms pain are uncertain after non-invasive testing, patients established who have persistent symptoms poor quality life despite medical therapy. Once underlying disorders been identified based results CFT, ESC emphasize patient-centered, mechanism-based approach treatment improve life. Conclusions provide vision ANOCA/INOCA, an expanded role CFT targeted therapy angina.

Language: Английский

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Detection of myocardial ischaemia: the importance of novel tools

Acta Cardiologica, Journal Year: 2025, Volume and Issue: unknown, P. 1 - 3

Published: Jan. 18, 2025

Language: Английский

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CVIT 2025 clinical expert consensus document on intravascular ultrasound

Cardiovascular Intervention and Therapeutics, Journal Year: 2025, Volume and Issue: unknown

Published: Jan. 27, 2025

Abstract Intravascular ultrasound (IVUS) provides precise anatomic information in coronary arteries including quantitative measurements and morphological assessment. To standardize the IVUS analysis current era, this updated expert consensus document summarizes methods of assessment images clinical evidence use percutaneous intervention.

Language: Английский

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