Vol 68, No 6 (2010)
Reviews
Published online: 2010-06-17

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Strategies of preoperative evaluation and risk reduction in patients undergoing invasive procedures in the view of recent European Society of Cardiology guidelines

Piotr Niewiński, Piotr Ponikowski
DOI: 10.33963/v.kp.79716
Kardiol Pol 2010;68(6):702-707.

Abstract

In this article we summarise recent European Society of Cardiology guidelines on perioperative evaluation and management of patients undergoing invasive non-cardiac procedures. Close attention is paid to pharmacological methods of risk reduction including beta-blockers, statins, aspirin and angiotensin converting enzyme inhibitors. Simple, stepwise and evidence-based algorithm for patient evaluation is presented. We discuss the need for excessive diagnostic tests and coronary revascularisation before the procedure. Time frame for stopping dual antiplatelet therapy following percutaneous coronary interventions, methods of glycaemic control and bridging protocol for patients on oral anticoagulants are also provided. We emphasise the importance of prompt implementation of the above guidelines as the number of surgical procedures being performed in high risk patients (including the elderly) constantly rises.
Kardiol Pol 2010; 68, 6: 702-707

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Polish Heart Journal (Kardiologia Polska)