Perioperative cardiovascular evaluation: heads or tails?
Autor(a) principal: | |
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Data de Publicação: | 2012 |
Outros Autores: | , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Revista da Associação Médica Brasileira (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0104-42302012000400025 |
Resumo: | When dealing with surgical patients, a perioperative evaluation is essential to anticipate complications and institute measures to reduce the risks. Several algorithms and exams have been used to identify postoperative cardiovascular events, which account for more than 50% of perioperative mortality. However, they are far from ideal. Some of these algorithms and exams were proposed before important advances in cardiology, at a time when pharmacological risk reduction strategies for surgical patients were not available. New biomarkers and exams, such as C-reactive protein, brain natriuretic peptide, and multislice computed tomography have been used in cardiology and have provided important prognostic information. The ankle-brachial index is another significant marker of atherosclerosis. However, specific information regarding the perioperative context of all these methods is still needed. The objective of this article is to evaluate cardiovascular risk prediction models after noncardiac surgery. |
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Perioperative cardiovascular evaluation: heads or tails?Perioperative caregeneral surgerybrain natriuretic peptidegeneral anesthesiacardiovascular riskankle-brachial indexWhen dealing with surgical patients, a perioperative evaluation is essential to anticipate complications and institute measures to reduce the risks. Several algorithms and exams have been used to identify postoperative cardiovascular events, which account for more than 50% of perioperative mortality. However, they are far from ideal. Some of these algorithms and exams were proposed before important advances in cardiology, at a time when pharmacological risk reduction strategies for surgical patients were not available. New biomarkers and exams, such as C-reactive protein, brain natriuretic peptide, and multislice computed tomography have been used in cardiology and have provided important prognostic information. The ankle-brachial index is another significant marker of atherosclerosis. However, specific information regarding the perioperative context of all these methods is still needed. The objective of this article is to evaluate cardiovascular risk prediction models after noncardiac surgery.Associação Médica Brasileira2012-08-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0104-42302012000400025Revista da Associação Médica Brasileira v.58 n.4 2012reponame:Revista da Associação Médica Brasileira (Online)instname:Associação Médica Brasileira (AMB)instacron:AMB10.1590/S0104-42302012000400025info:eu-repo/semantics/openAccessCarmo,Gabriel A.L.Calderaro,DanielaYu,Pai C.Gualandro,Danielle M.Marques,André C.Bittar,Cristina S.Pastana,Adriana F.Caramelli,Brunoeng2012-08-24T00:00:00Zoai:scielo:S0104-42302012000400025Revistahttps://ramb.amb.org.br/ultimas-edicoes/#https://old.scielo.br/oai/scielo-oai.php||ramb@amb.org.br1806-92820104-4230opendoar:2012-08-24T00:00Revista da Associação Médica Brasileira (Online) - Associação Médica Brasileira (AMB)false |
dc.title.none.fl_str_mv |
Perioperative cardiovascular evaluation: heads or tails? |
title |
Perioperative cardiovascular evaluation: heads or tails? |
spellingShingle |
Perioperative cardiovascular evaluation: heads or tails? Carmo,Gabriel A.L. Perioperative care general surgery brain natriuretic peptide general anesthesia cardiovascular risk ankle-brachial index |
title_short |
Perioperative cardiovascular evaluation: heads or tails? |
title_full |
Perioperative cardiovascular evaluation: heads or tails? |
title_fullStr |
Perioperative cardiovascular evaluation: heads or tails? |
title_full_unstemmed |
Perioperative cardiovascular evaluation: heads or tails? |
title_sort |
Perioperative cardiovascular evaluation: heads or tails? |
author |
Carmo,Gabriel A.L. |
author_facet |
Carmo,Gabriel A.L. Calderaro,Daniela Yu,Pai C. Gualandro,Danielle M. Marques,André C. Bittar,Cristina S. Pastana,Adriana F. Caramelli,Bruno |
author_role |
author |
author2 |
Calderaro,Daniela Yu,Pai C. Gualandro,Danielle M. Marques,André C. Bittar,Cristina S. Pastana,Adriana F. Caramelli,Bruno |
author2_role |
author author author author author author author |
dc.contributor.author.fl_str_mv |
Carmo,Gabriel A.L. Calderaro,Daniela Yu,Pai C. Gualandro,Danielle M. Marques,André C. Bittar,Cristina S. Pastana,Adriana F. Caramelli,Bruno |
dc.subject.por.fl_str_mv |
Perioperative care general surgery brain natriuretic peptide general anesthesia cardiovascular risk ankle-brachial index |
topic |
Perioperative care general surgery brain natriuretic peptide general anesthesia cardiovascular risk ankle-brachial index |
description |
When dealing with surgical patients, a perioperative evaluation is essential to anticipate complications and institute measures to reduce the risks. Several algorithms and exams have been used to identify postoperative cardiovascular events, which account for more than 50% of perioperative mortality. However, they are far from ideal. Some of these algorithms and exams were proposed before important advances in cardiology, at a time when pharmacological risk reduction strategies for surgical patients were not available. New biomarkers and exams, such as C-reactive protein, brain natriuretic peptide, and multislice computed tomography have been used in cardiology and have provided important prognostic information. The ankle-brachial index is another significant marker of atherosclerosis. However, specific information regarding the perioperative context of all these methods is still needed. The objective of this article is to evaluate cardiovascular risk prediction models after noncardiac surgery. |
publishDate |
2012 |
dc.date.none.fl_str_mv |
2012-08-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0104-42302012000400025 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0104-42302012000400025 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/S0104-42302012000400025 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Associação Médica Brasileira |
publisher.none.fl_str_mv |
Associação Médica Brasileira |
dc.source.none.fl_str_mv |
Revista da Associação Médica Brasileira v.58 n.4 2012 reponame:Revista da Associação Médica Brasileira (Online) instname:Associação Médica Brasileira (AMB) instacron:AMB |
instname_str |
Associação Médica Brasileira (AMB) |
instacron_str |
AMB |
institution |
AMB |
reponame_str |
Revista da Associação Médica Brasileira (Online) |
collection |
Revista da Associação Médica Brasileira (Online) |
repository.name.fl_str_mv |
Revista da Associação Médica Brasileira (Online) - Associação Médica Brasileira (AMB) |
repository.mail.fl_str_mv |
||ramb@amb.org.br |
_version_ |
1754212830378196992 |