Präoperative kardiovaskuläre Risikoeinschätzung - Diagnostik

Die präoperative Risikoeinschätzung und Diagnostik hat nicht das primäre Ziel, einen Patienten als „operabel” oder „nicht operabel” zu klassifizieren, sondern die perioperative Morbidität und Sterblichkeit zu senken. Die wichtigsten perioperativen Risikofaktoren sind Herz-Kreislauferkrankungen. Diese sind präoperativ oft in einem vertretbaren Zeitraum zu diagnostizieren und zu behandeln.

Literatur

• 1 ACC/AHA Guidelines for perioperative cardiovascular evaluation for noncardiac surgery . Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines. Committee on Perioperative Cardiovascular Evaluation for Noncardiac Surgery.  Circulation. 1996;  93 1278-1317
• 2 ACC/AHA guideline update for perioperative cardiovascular evaluation for noncardiac surgery . Executive summary 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).  Circulation. 2002;  105 1257-1267
• 3 Mangano D T, Biebuyck J F, Phil D. Perioperative cardiac morbidity.  Anesthesiology. 1990;  72 153-184
• 4 Mangano D T, Goldman L. Preoperative assessment of patients with known or suspected coronary disease.  N Engl J Med. 1995;  331 1750-1756
• 5 Detsky A S, Abrams H B, Forbath N. Cardiac assessment for patients undergoing noncardiac surgery: a multifactorial clinical risk index.  Arch Intern Med. 1986;  146 222-227
• 6 Goldman L, Caldera D, Nussbaum S. et al . Multifactorial index of cardiac risk in noncardiac surgical procedures.  N Engl J Med. 1977;  297 845-851
• 7 Goldman L, Caldera D, Southwick F S. et al . Cardiac risk factors and complications in non-cardiac surgery.  Medicine. 1978;  57 357-370
• 8 Goldman L. Assessment of the patients with known or suspected ischemic heart disease for noncardiac surgery.  Br J Anaesth. 1988;  61 38-83
• 9 Goldman L. Assessment of perioperative cardiac risk.  N Engl J Med. 1994;  330 707-709
• 10 Goldman L. Cardiac risk for vascular surgery.  J Am Coll Cardiol. 1996;  27 799-802
• 11 Lee T H, Marcantonio E R, Mangione C M. et al . Derivation and prospective validation of a simple index for prediction of cardiac risk of major noncardiac surgery.  Circulation. 1999;  100 1043-1049
• 12 Rao T K, Jacobs K H, El-Etr A A. Reinfarction following anesthesia in patients with myocardial infarction.  Anesthesiology. 1983;  59 499-505
• 13 Shah K B, Kleinman B S, Sami H, Patel J, Rao T LK. Reevaluation of perioperative myocardial infarction in patients with prior myocardial infarction undergoing noncardiac operations.  Anesth Analg. 1990;  71 231-235
• 14 Hoes A W, Mosterd A, Grobbee E. An epidemic of heart failure?.  Eur Heart J. 1998;  19 (Suppl L) L2-L8
• 15 American Heart Association Task Force on Practice Guidelines . ACC/AHA guidelines for the clinical application of echocardiography.  Circulation. 1997;  95 1686-1744
• 16 Hunt S A, Baker D W, Chin M H. et al . ACC/AHA guidelines for the evaluation and management of chronic heart failure in the adult: executive summary. A report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee to revise the 1995 Guidelines for the Evaluation and Management of Heart Failure).  J Am Coll Cardiol. 2001;  38 2101-2113
• 17 Jensen K T, Carstens J, Ivarsen P, Pedersen E B. A new, fast and reliable radioimmunoassay of brain natriuretic peptide in human plasma. Reference values in healthy subjects and in patients with different diseases.  Scand J Clin Lab Invest. 1997;  57 529-540
• 18 Nielsen L S, Svanegaard J, Klitgaard N A, Egeblad H. N-terminal pro-brain natriuretic peptide for discriminating between cardiac and non-cardiac dyspnea.  Eur J Heart Fail. 2004;  6 63-70
• 19 Stewart B F, Siscovick D, Lind B K. et al . Clinical factors associated with calcific aortic valve disease. Cardiovascular Health Study.  J Am Coll Cardiol. 1997;  29 630-634
• 20 Kertai M D, Bountioukos M, Boersma E. et al . Aortic stenosis: an underestimated risk factor for perioperative complications in patients undergoing noncardiac surgery.  Am J Med. 2004;  116 8-13
• 21 Foster E, Davis K, Carpenter J, Abele S, Fray D. Risk of noncardiac operation in patients with defined coronary artery disease: the coronary artery surgery study (CASS) registry experience.  Ann Thorax Surg. 1986;  41 42-50