Cardiovascular risk assessment in the senior population undergoing anesthesia for non-cardiac surgery
Older patients are underrepresented in major cardiovascular trials, and only relatively healthy elderly patients, with few comorbidities or functional impairments, have been enrolled. As a result, current guidelines are unable to provide evidence-based recommendations for anesthesia treatment of pat...
Ausführliche Beschreibung
Autor*in: |
Concezione Tommasino [verfasserIn] |
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E-Artikel |
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Sprache: |
Englisch |
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2017 |
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In: Monaldi Archives for Chest Disease - PAGEPress Publications, 2019, 87(2017), 2 |
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Übergeordnetes Werk: |
volume:87 ; year:2017 ; number:2 |
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DOI / URN: |
10.4081/monaldi.2017.853 |
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Katalog-ID: |
DOAJ065010566 |
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10.4081/monaldi.2017.853 doi (DE-627)DOAJ065010566 (DE-599)DOAJa3427542f13c4e6f9934705ecca4bf16 DE-627 ger DE-627 rakwb eng Concezione Tommasino verfasserin aut Cardiovascular risk assessment in the senior population undergoing anesthesia for non-cardiac surgery 2017 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Older patients are underrepresented in major cardiovascular trials, and only relatively healthy elderly patients, with few comorbidities or functional impairments, have been enrolled. As a result, current guidelines are unable to provide evidence-based recommendations for anesthesia treatment of patients aged ≥75 years, undergoing non-cardiac surgical procedures. Effective strategies, aimed at reducing the risk of perioperative cardiac complications, should involve cardiac evaluation using mostly medical history. A key component is the evaluation of active or unstable cardiac conditions, surgical and cardiac risk factors, and functional capacity of the patient. Patient at low cardiac risk, based on clinical features, functional status, and low-risk surgery, do not generally require further cardiac evaluation, and can be operated on safely without further delay. Additional preoperative testing is indicated in patients at intermediate risk, with poor or unclear functional status. Patients at high-risk based on clinical features, poor functional status, undergoing high-risk surgery may benefit from further evaluation with noninvasive/invasive stress testing. In case of emergency surgical procedures, patient or surgery-specific factors dictate the strategy and do not allow further cardiac testing or treatment. Successful perioperative evaluation is best achieved by combining an integrated multidisciplinary approach, with good communication between the patient, anesthesiologist, cardiologist, geriatrician and surgeon. Elderly patient cardiac risk surgical risk non-cardiac surgery functional capacity non invasive cardiac testing Medicine R In Monaldi Archives for Chest Disease PAGEPress Publications, 2019 87(2017), 2 (DE-627)537441069 (DE-600)2375904-5 25325264 nnns volume:87 year:2017 number:2 https://doi.org/10.4081/monaldi.2017.853 kostenfrei https://doaj.org/article/a3427542f13c4e6f9934705ecca4bf16 kostenfrei https://www.monaldi-archives.org/index.php/macd/article/view/853 kostenfrei https://doaj.org/toc/1122-0643 Journal toc kostenfrei https://doaj.org/toc/2532-5264 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 87 2017 2 |
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10.4081/monaldi.2017.853 doi (DE-627)DOAJ065010566 (DE-599)DOAJa3427542f13c4e6f9934705ecca4bf16 DE-627 ger DE-627 rakwb eng Concezione Tommasino verfasserin aut Cardiovascular risk assessment in the senior population undergoing anesthesia for non-cardiac surgery 2017 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Older patients are underrepresented in major cardiovascular trials, and only relatively healthy elderly patients, with few comorbidities or functional impairments, have been enrolled. As a result, current guidelines are unable to provide evidence-based recommendations for anesthesia treatment of patients aged ≥75 years, undergoing non-cardiac surgical procedures. Effective strategies, aimed at reducing the risk of perioperative cardiac complications, should involve cardiac evaluation using mostly medical history. A key component is the evaluation of active or unstable cardiac conditions, surgical and cardiac risk factors, and functional capacity of the patient. Patient at low cardiac risk, based on clinical features, functional status, and low-risk surgery, do not generally require further cardiac evaluation, and can be operated on safely without further delay. Additional preoperative testing is indicated in patients at intermediate risk, with poor or unclear functional status. Patients at high-risk based on clinical features, poor functional status, undergoing high-risk surgery may benefit from further evaluation with noninvasive/invasive stress testing. In case of emergency surgical procedures, patient or surgery-specific factors dictate the strategy and do not allow further cardiac testing or treatment. Successful perioperative evaluation is best achieved by combining an integrated multidisciplinary approach, with good communication between the patient, anesthesiologist, cardiologist, geriatrician and surgeon. Elderly patient cardiac risk surgical risk non-cardiac surgery functional capacity non invasive cardiac testing Medicine R In Monaldi Archives for Chest Disease PAGEPress Publications, 2019 87(2017), 2 (DE-627)537441069 (DE-600)2375904-5 25325264 nnns volume:87 year:2017 number:2 https://doi.org/10.4081/monaldi.2017.853 kostenfrei https://doaj.org/article/a3427542f13c4e6f9934705ecca4bf16 kostenfrei https://www.monaldi-archives.org/index.php/macd/article/view/853 kostenfrei https://doaj.org/toc/1122-0643 Journal toc kostenfrei https://doaj.org/toc/2532-5264 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 87 2017 2 |
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10.4081/monaldi.2017.853 doi (DE-627)DOAJ065010566 (DE-599)DOAJa3427542f13c4e6f9934705ecca4bf16 DE-627 ger DE-627 rakwb eng Concezione Tommasino verfasserin aut Cardiovascular risk assessment in the senior population undergoing anesthesia for non-cardiac surgery 2017 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Older patients are underrepresented in major cardiovascular trials, and only relatively healthy elderly patients, with few comorbidities or functional impairments, have been enrolled. As a result, current guidelines are unable to provide evidence-based recommendations for anesthesia treatment of patients aged ≥75 years, undergoing non-cardiac surgical procedures. Effective strategies, aimed at reducing the risk of perioperative cardiac complications, should involve cardiac evaluation using mostly medical history. A key component is the evaluation of active or unstable cardiac conditions, surgical and cardiac risk factors, and functional capacity of the patient. Patient at low cardiac risk, based on clinical features, functional status, and low-risk surgery, do not generally require further cardiac evaluation, and can be operated on safely without further delay. Additional preoperative testing is indicated in patients at intermediate risk, with poor or unclear functional status. Patients at high-risk based on clinical features, poor functional status, undergoing high-risk surgery may benefit from further evaluation with noninvasive/invasive stress testing. In case of emergency surgical procedures, patient or surgery-specific factors dictate the strategy and do not allow further cardiac testing or treatment. Successful perioperative evaluation is best achieved by combining an integrated multidisciplinary approach, with good communication between the patient, anesthesiologist, cardiologist, geriatrician and surgeon. Elderly patient cardiac risk surgical risk non-cardiac surgery functional capacity non invasive cardiac testing Medicine R In Monaldi Archives for Chest Disease PAGEPress Publications, 2019 87(2017), 2 (DE-627)537441069 (DE-600)2375904-5 25325264 nnns volume:87 year:2017 number:2 https://doi.org/10.4081/monaldi.2017.853 kostenfrei https://doaj.org/article/a3427542f13c4e6f9934705ecca4bf16 kostenfrei https://www.monaldi-archives.org/index.php/macd/article/view/853 kostenfrei https://doaj.org/toc/1122-0643 Journal toc kostenfrei https://doaj.org/toc/2532-5264 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 87 2017 2 |
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10.4081/monaldi.2017.853 doi (DE-627)DOAJ065010566 (DE-599)DOAJa3427542f13c4e6f9934705ecca4bf16 DE-627 ger DE-627 rakwb eng Concezione Tommasino verfasserin aut Cardiovascular risk assessment in the senior population undergoing anesthesia for non-cardiac surgery 2017 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Older patients are underrepresented in major cardiovascular trials, and only relatively healthy elderly patients, with few comorbidities or functional impairments, have been enrolled. As a result, current guidelines are unable to provide evidence-based recommendations for anesthesia treatment of patients aged ≥75 years, undergoing non-cardiac surgical procedures. Effective strategies, aimed at reducing the risk of perioperative cardiac complications, should involve cardiac evaluation using mostly medical history. A key component is the evaluation of active or unstable cardiac conditions, surgical and cardiac risk factors, and functional capacity of the patient. Patient at low cardiac risk, based on clinical features, functional status, and low-risk surgery, do not generally require further cardiac evaluation, and can be operated on safely without further delay. Additional preoperative testing is indicated in patients at intermediate risk, with poor or unclear functional status. Patients at high-risk based on clinical features, poor functional status, undergoing high-risk surgery may benefit from further evaluation with noninvasive/invasive stress testing. In case of emergency surgical procedures, patient or surgery-specific factors dictate the strategy and do not allow further cardiac testing or treatment. Successful perioperative evaluation is best achieved by combining an integrated multidisciplinary approach, with good communication between the patient, anesthesiologist, cardiologist, geriatrician and surgeon. Elderly patient cardiac risk surgical risk non-cardiac surgery functional capacity non invasive cardiac testing Medicine R In Monaldi Archives for Chest Disease PAGEPress Publications, 2019 87(2017), 2 (DE-627)537441069 (DE-600)2375904-5 25325264 nnns volume:87 year:2017 number:2 https://doi.org/10.4081/monaldi.2017.853 kostenfrei https://doaj.org/article/a3427542f13c4e6f9934705ecca4bf16 kostenfrei https://www.monaldi-archives.org/index.php/macd/article/view/853 kostenfrei https://doaj.org/toc/1122-0643 Journal toc kostenfrei https://doaj.org/toc/2532-5264 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 87 2017 2 |
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cardiovascular risk assessment in the senior population undergoing anesthesia for non-cardiac surgery |
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Cardiovascular risk assessment in the senior population undergoing anesthesia for non-cardiac surgery |
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Older patients are underrepresented in major cardiovascular trials, and only relatively healthy elderly patients, with few comorbidities or functional impairments, have been enrolled. As a result, current guidelines are unable to provide evidence-based recommendations for anesthesia treatment of patients aged ≥75 years, undergoing non-cardiac surgical procedures. Effective strategies, aimed at reducing the risk of perioperative cardiac complications, should involve cardiac evaluation using mostly medical history. A key component is the evaluation of active or unstable cardiac conditions, surgical and cardiac risk factors, and functional capacity of the patient. Patient at low cardiac risk, based on clinical features, functional status, and low-risk surgery, do not generally require further cardiac evaluation, and can be operated on safely without further delay. Additional preoperative testing is indicated in patients at intermediate risk, with poor or unclear functional status. Patients at high-risk based on clinical features, poor functional status, undergoing high-risk surgery may benefit from further evaluation with noninvasive/invasive stress testing. In case of emergency surgical procedures, patient or surgery-specific factors dictate the strategy and do not allow further cardiac testing or treatment. Successful perioperative evaluation is best achieved by combining an integrated multidisciplinary approach, with good communication between the patient, anesthesiologist, cardiologist, geriatrician and surgeon. |
abstractGer |
Older patients are underrepresented in major cardiovascular trials, and only relatively healthy elderly patients, with few comorbidities or functional impairments, have been enrolled. As a result, current guidelines are unable to provide evidence-based recommendations for anesthesia treatment of patients aged ≥75 years, undergoing non-cardiac surgical procedures. Effective strategies, aimed at reducing the risk of perioperative cardiac complications, should involve cardiac evaluation using mostly medical history. A key component is the evaluation of active or unstable cardiac conditions, surgical and cardiac risk factors, and functional capacity of the patient. Patient at low cardiac risk, based on clinical features, functional status, and low-risk surgery, do not generally require further cardiac evaluation, and can be operated on safely without further delay. Additional preoperative testing is indicated in patients at intermediate risk, with poor or unclear functional status. Patients at high-risk based on clinical features, poor functional status, undergoing high-risk surgery may benefit from further evaluation with noninvasive/invasive stress testing. In case of emergency surgical procedures, patient or surgery-specific factors dictate the strategy and do not allow further cardiac testing or treatment. Successful perioperative evaluation is best achieved by combining an integrated multidisciplinary approach, with good communication between the patient, anesthesiologist, cardiologist, geriatrician and surgeon. |
abstract_unstemmed |
Older patients are underrepresented in major cardiovascular trials, and only relatively healthy elderly patients, with few comorbidities or functional impairments, have been enrolled. As a result, current guidelines are unable to provide evidence-based recommendations for anesthesia treatment of patients aged ≥75 years, undergoing non-cardiac surgical procedures. Effective strategies, aimed at reducing the risk of perioperative cardiac complications, should involve cardiac evaluation using mostly medical history. A key component is the evaluation of active or unstable cardiac conditions, surgical and cardiac risk factors, and functional capacity of the patient. Patient at low cardiac risk, based on clinical features, functional status, and low-risk surgery, do not generally require further cardiac evaluation, and can be operated on safely without further delay. Additional preoperative testing is indicated in patients at intermediate risk, with poor or unclear functional status. Patients at high-risk based on clinical features, poor functional status, undergoing high-risk surgery may benefit from further evaluation with noninvasive/invasive stress testing. In case of emergency surgical procedures, patient or surgery-specific factors dictate the strategy and do not allow further cardiac testing or treatment. Successful perioperative evaluation is best achieved by combining an integrated multidisciplinary approach, with good communication between the patient, anesthesiologist, cardiologist, geriatrician and surgeon. |
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Cardiovascular risk assessment in the senior population undergoing anesthesia for non-cardiac surgery |
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|
score |
7.4014053 |