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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)

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Table 3. Cardiac Risk* Stratification for Noncardiac Surgical Procedures

High

(Reported cardiac risk often greater than 5%)

  • Emergent major operations, particularly in the elderly
  • Aortic and other major vascular surgery
  • Peripheral vascular surgery
  • Anticipated prolonged surgical procedures associated with large fluid shifts and/or blood loss
Intermediate

(Reported cardiac risk generally less than 5%)

  • Carotid endarterectomy surgery
  • Head and neck surgery
  • Intraperitoneal and intrathoracic surgery
  • Orthopedic surgery
  • Prostate surgery
Low†

(Reported cardiac risk generally less than 1%)

  • Endoscopic procedures
  • Superficial procedure
  • Cataract surgery
  • Breast surgery

*Combined incidence of cardiac death and nonfatal myocardial infarction.
†Do not generally require further preoperative cardiac testing.

 

Copyright © 2002 by the American College of Cardiology and American Heart Association, Inc.

 

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