Subscribe to RSS
DOI: 10.1055/s-2004-826861
© Georg Thieme Verlag Stuttgart · New York
Präoperative kardiovaskuläre Risikoeinschätzung - Therapie
Preoperative cardiovascular risk evaluation - therapyPublication History
eingereicht: 28.4.2004
akzeptiert: 17.5.2004
Publication Date:
21 July 2004 (online)

Die Indikationen für perioperative diagnostische, medikamentöse, interventionelle und operative Maßnahmen sind im Allgemeinen identisch mit denen ohne eine nachfolgende Operation. Die zeitliche Abfolge ist jedoch oft abhängig von zusätzlichen Faktoren wie beispielsweise der Dringlichkeit des operativen Eingriffs und erfordert eine gute Kommunikation und Zusammenarbeit zwischen Chirurgen, Anästhesisten und Internisten.
Literatur
- 1
Foster E D, Davis K B, Carpenter J A, Abele S, Fray D.
Risk of noncardiac operation in patients with defined coronary disease: The
Coronary Artery Surgery Study (CASS) registry experience.
Ann Thorac Surg.
1986;
41
42-50
Reference Ris Wihthout Link
- 2
Eagle K A, Rihal C S, Mickel M C, Holmes D R, Foster E D, Gersh B J.
Cardiac risk of noncardiac surgery. influence of coronary disease and type of
surgery in 3368 operations. CASS Investigators and University of Michigan Heart
Care Program: Coronary Artery Surgery Study.
Circulation.
1997;
96
1882-1887
Reference Ris Wihthout Link
- 3
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
Reference Ris Wihthout Link
- 4
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
Reference Ris Wihthout Link
- 5
Moses J W, Leon M B, Popma J J. et al .
Sirolimus-eluting stents versus standard stents in patients with stenosis in
a native coronary artery.
N Engl J Med.
2003;
349
1315-1323
Reference Ris Wihthout Link
- 6
Mangano D T, Layug E L, Wallace A, Tateo I.
Effect of atenolol on mortality and cardiovascular morbidity after noncardiac
surgery. Multicenter Study of Perioperative Ischemia Research Group.
N Engl J Med.
1996;
335
1713-1720
Reference Ris Wihthout Link
- 7
Poldermans D, Boersma E, Bax J J. et al .
The effect of bisoprolol on perioperative mortality and myocardial infarction
in high-risk patients undergoing vascular surgery. Dutch Echocardiographic Cardiac
Risk Evaluation Applying Stress Echocardiography Study Group.
N Engl J Med.
1999;
341
1789-1794
Reference Ris Wihthout Link
- 8
Boersma E, Poldermans D, Bax J J. et al .
Predictors of cardiac events after major vascular surgery: Role of clinical
characteristics, dobutamine echocardiography, and beta-blocker therapy.
JAMA.
2001;
285
1865-1873
Reference Ris Wihthout Link
- 9
Poldermans D, Bax J J, Kertai M D. et al .
Statins are associated with a reduced incidence of perioperative mortality in
patients undergoing major noncardiac vascular surgery.
Circulation.
2003;
107
1848-1851
Reference Ris Wihthout Link
- 10
Böhm M.
Perioperatives Risiko und präoperative Vorbereitung des herzinsuffizienten Patienten
zur nichtkardialen Operation.
Internist.
2000;
41
283-291
Reference Ris Wihthout Link
- 11
Packer M, Bristow M R, Cohn J N. et al .
The effect of carvedilol on morbidity and mortality in patients with chronic
heart failure. US Carvedilol Heart Failure Study Group.
N Engl J Med.
1996;
334
1349-1355
Reference Ris Wihthout Link
- 12
The Cardiac Insufficiency Bisoprolol Study II (CIBIS-II) .
A randomised trial.
Lancet.
1999;
353
9-13
Reference Ris Wihthout Link
- 13
Effect of metoprolol CR/XL in chronic heart failure .
Metoprolol CR/XL Randomised Intervention Trial in Congestive Heart Failure (MERIT-HF).
Lancet.
1999;
353
2001-2007
Reference Ris Wihthout Link
- 14
Packer M, Coats A J, Fowler M B. et al .
Effect of carvedilol on survival in severe chronic heart failure.
N Engl J Med.
2001;
344
1651-1658
Reference Ris Wihthout Link
- 15
Böhm M, Maack C, Wehrlen-Grandjean M, Erdmann E.
Effect of bisoprolol on perioperative complications in chronic heart failure
after surgery (Cardiac Insufficiency Bisoprolol Study II (CIBIS II)).
Z Kardiol.
2003;
92
668-676
Reference Ris Wihthout Link
- 16
The Digitalis Investigation Group .
The effect of digoxin on mortality and morbidity in patients with heart failure.
N Engl J Med.
1997;
336
525-533
Reference Ris Wihthout Link
- 17
Tauke J, Goldstein S, Gheorghiade M.
Digoxin for chronic heart failure: a reviwe of the randomized controlled trials
with special attention to the PROVED and RADIANCE Trials.
Prog Cardiovasc Res.
1994;
37
49-58
Reference Ris Wihthout Link
- 18
Jung J, Böhm M.
Vorhofflimmern - Therapie.
Dtsch Med Wochenschr.
2001;
126
1472-1475
Reference Ris Wihthout Link
- 19 Cremers B, Böhm M. Kalziumantagonisten in der Therapie der Herzinsuffizienz. Stuttgart, New York: Schattauer In: Kalziumantagonisten-Handbuch. Bönner G, Dominiak P, eds 2002: 467-507
Reference Ris Wihthout Link
- 20
Kalman J M, Munawar M, Howes G L. et al .
Atrial fibrillation after coronary artery bypass grafting is associated with
sympathetic activation.
Ann Thorac Surg.
1995;
60
1709-1715
Reference Ris Wihthout Link
- 21
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
Reference Ris Wihthout Link
- 22
Fleisher L A, Eagle K A.
Clinical practice. Lowering cardiac risk in noncardiac surgery.
N Engl J Med.
2001;
345
1677-1682
Reference Ris Wihthout Link
Dr. med. Bodo Cremers
Klinik für Innere Medizin III, (Kardiologie, Angiologie und Internistische Intensivmedizin),
Universitätsklinikum des Saarlandes
66421 Homburg/Saar
Phone: 06841/1623372
Fax: 06841/1623369
Email: cremers@med-in.uni-sb.de