American College of Cardiology

EAGLE ET AL., PERIOPERATIVE CARDIOVASCULAR EVALUATION FOR NONCARDIAC SURGERY UPDATE
http://www.acc.org/clinical/guidelines/perio/update/periupdate_index.htm

ACC/AHA Guideline Update for Perioperative Cardiovascular Evaluation for Noncardiac Surgery

A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee to Update the 1996 Guidelines on Perioperative Cardiovascular Evaluation for Noncardiac Surgery)

XII. Cardiac Risk of Noncardiac Surgery: Areas in Need of Further Research

• Role and cost-effectiveness of prophylactic revascularization in reducing perioperative and long-term MI and death
• Cost-effectiveness of the various methods of noninvasive testing for reducing cardiac complications
• Establishment of efficacy and cost-effectiveness of various medical therapies for high-risk patients
• Establishment of optimal guidelines for selected patient subgroups, particularly the elderly and women
• Establishment of the efficacy of monitoring patients for myocardial ischemia and infarction, particularly the role of monitoring in affecting treatment decisions and outcomes