ACC/AHA guidelines for preoperative cardiovascular evaluation for noncardiac surgery: a critical point of view.


:This review examines the issue of preoperative cardiac evaluation from a critical point of view, based on recent medical literature. We reviewed the history of that field and focused on the American College of Cardiology and American Heart Association guidelines, which are a cornerstone in the field of cardiac patients undergoing noncardiac surgery. These guidelines synthesized the data into a comprehensive format and established the concept of integrating the patient's risk with the surgical risk. Nevertheless, there are some weaknesses in the guidelines. We believe that a better understanding of the guideline limitations will allow an improved and more educated practice of its recommendations.


Clin Cardiol


Clinical cardiology


Barak M,Ben-Abraham R,Katz Y




Has Abstract


2006-05-01 00:00:00












  • Refining the treatment of women with unstable angina--a randomized, double-blind, comparative safety and efficacy evaluation of Integrelin versus aspirin in the management of unstable angina.

    abstract:BACKGROUND:Although women typically develop coronary artery disease several years after men, once they have symptomatic disease their thromboembolic complications are worse than in men. The mechanism mediating this gender difference in outcome after thromboembolic events is unknown. We previously studied platelet funct...

    journal_title:Clinical cardiology

    pub_type: 临床试验,杂志文章,随机对照试验


    authors: Goldschmidt-Clermont PJ,Schulman SP,Bray PF,Chandra NC,Grigoryev D,Dise KR,Sagar M,Fox RJ,Coleman LD,Richardson C,Dorsey FC,du Mee C,Kitt MM,Ouyang P,Baughman KL,Gerstenblith G

    更新日期:1996-11-01 00:00:00

  • Plaque characteristics of the coronary segment proximal to the culprit lesion in stable and unstable patients.

    abstract:BACKGROUND:Identifying vulnerable plaque is important for preventing an acute coronary event. The present study examined the relationship between the clinical presentation of coronary artery disease and the plaque characteristics of nonculprit segment assessed by virtual histology intravascular ultrasound (VH-IVUS). M...

    journal_title:Clinical cardiology

    pub_type: 杂志文章


    authors: Nakamura T,Kubo N,Funayama H,Sugawara Y,Ako J,Momomura S

    更新日期:2009-08-01 00:00:00

  • Impact of acute blood loss anemia and red blood cell transfusion on mortality after percutaneous coronary intervention.

    abstract::The clinical impact of increasing levels of blood loss has been shown to increase morbidity and mortality after percutaneous coronary intervention (PCI). The impact of red blood cell (RBC) transfusion for severe bleeding is unknown. We systematically collected baseline and 8-h postprocedure hematocrit (HCT) values on ...

    journal_title:Clinical cardiology

    pub_type: 杂志文章


    authors: Kim P,Dixon S,Eisenbrey AB,O'Malley B,Boura J,O'Neill W

    更新日期:2007-10-01 00:00:00

  • The effect of oral diltiazem on left ventricular performance in postinfarction patients.

    abstract::The purpose of the present study was to evaluate the effect of diltiazem on the left ventricular function in postinfarction patients. Twelve patients without cardiac decompensation at rest began diltiazem therapy beginning 3 months after an acute myocardial Q-wave infarction. Oral diltiazem was administered on the fir...

    journal_title:Clinical cardiology

    pub_type: 杂志文章


    authors: Boström PA,Lilja B,Johansson BW,Meier K

    更新日期:1988-11-01 00:00:00

  • Relation of iodine-123 metaiodobenzylguanidine myocardial scintigraphy to endomyocardial biopsy findings in patients with dilated cardiomyopathy.

    abstract:BACKGROUND:Iodine-123 metaiodobenzylguanidine (123I-MIBG) concentrates in adrenergic neurons and has been developed for evaluation of the sympathetic nervous system. Recent studies have demonstrated that the normal heart is clearly visualized by 123I-MIBG cardiac scintigraphy, whereas abnormal 123I-MIBG myocardial upta...

    journal_title:Clinical cardiology

    pub_type: 临床试验,杂志文章


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    更新日期:1997-01-01 00:00:00

  • Hyponatremia in acute decompensated heart failure: mechanisms, prognosis, and treatment options.

    abstract::Hyponatremia is common and is increasingly recognized as an independent prognostic marker that adversely affects morbidity and mortality in various disease states, including heart failure. In acute decompensated heart failure (ADHF), the degree of hyponatremia often parallels the severity of cardiac dysfunction and is...

    journal_title:Clinical cardiology

    pub_type: 杂志文章,评审


    authors: Jao GT,Chiong JR

    更新日期:2010-11-01 00:00:00

  • Prospective comparison of exercise digital subtraction and exercise first pass radionuclide ventriculography.

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    journal_title:Clinical cardiology

    pub_type: 杂志文章


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    更新日期:1986-09-01 00:00:00

  • Predictors of Medical Management in Patients Undergoing Elective Cardiac Catheterization for Chronic Ischemic Heart Disease.

    abstract:BACKGROUND:Compared with medical therapy, percutaneous coronary intervention (PCI) does not reduce mortality or myocardial infarction in patients with stable angina. Therefore, PCI should be guided by refractory anginal symptoms and not just lesion characteristics. HYPOTHESIS:We hypothesized that angiographic lesion c...

    journal_title:Clinical cardiology

    pub_type: 杂志文章


    authors: Atreya AR,Sivalingam SK,Arora S,Kashef MA,Fitzgerald J,Visintainer P,Lotfi A,Rothberg MB

    更新日期:2016-04-01 00:00:00

  • Long-term outcomes in Japanese nonagenarians undergoing transcatheter aortic valve implantation: A multi-center analysis.

    abstract:BACKGROUND AND HYPOTHESIS:Japan is an aging society, and the number of nonagenarians with severe aortic stenosis undergoing transcatheter aortic valve implantation (TAVI) is increasing, but their outcomes have not been determined fully. METHODS:We prospectively enrolled 767 consecutive patients who underwent TAVI in t...

    journal_title:Clinical cardiology

    pub_type: 杂志文章,多中心研究


    authors: Yokoyama H,Tobaru T,Muto Y,Hagiya K,Higuchi R,Saji M,Takamisawa I,Shimizu J,Takanashi S,Takayama M,Tomita H,Tamura H,Doi S,Okazaki S,Isobe M

    更新日期:2019-06-01 00:00:00

  • Lithium-induced electrocardiographic changes: A complete review.

    abstract::Lithium has been used for the treatment of bipolar disorder for more than 6 decades. Reports of cardiac side effects resulting in both benign electrocardiographic (ECG) changes and near fatal arrhythmias have been reported in the literature. A systematic literature search was conducted on 2 electronic databases-PubMed...

    journal_title:Clinical cardiology

    pub_type: 杂志文章,评审


    authors: Mehta N,Vannozzi R

    更新日期:2017-12-01 00:00:00

  • Statin use in patients with non-HMGCR idiopathic inflammatory myopathies: A retrospective study.

    abstract:BACKGROUND:Statins are the most widely used lipid lowering therapies which reduce cardiovascular risk, but are associated with muscular adverse events (AEs). Idiopathic inflammatory myopathies (IIM) are autoimmune diseases of the muscle with higher risk of cardiovascular disease. More data is needed regarding statin sa...

    journal_title:Clinical cardiology

    pub_type: 杂志文章


    authors: Bae SS,Oganesian B,Golub I,Charles-Schoeman C

    更新日期:2020-07-01 00:00:00

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    abstract::A total of 140 consecutive patients with acute Q-wave myocardial infarction was evaluated to assess the relationship between different electrocardiographic patterns of evolution and the incidence of recurrent ischemia within 10 days of infarction. Patients were allocated to three groups according to the electrocardiog...

    journal_title:Clinical cardiology

    pub_type: 杂志文章


    authors: Benjaminov FS,Sclarovsky S,Birnbaum Y

    更新日期:1995-12-01 00:00:00

  • Management of coronary artery disease in patients undergoing elective abdominal aortic aneurysm open repair.

    abstract:BACKGROUND:The efficacy of prophylactic coronary revascularization with percutaneous coronary intervention (PCI) or coronary artery bypass graft (CABG) surgery in patients with abdominal aortic aneurysm (AAA) scheduled for open repair surgery remains controversial. HYPOTHESIS:Concomitant coronary artery disease (CAD) ...

    journal_title:Clinical cardiology

    pub_type: 杂志文章


    authors: Hosokawa Y,Takano H,Aoki A,Inami T,Ogano M,Kobayashi N,Tanabe J,Yokoyama H,Kato T,Takagi H,Umemoto T,Takayama M,Mizuno K

    更新日期:2008-12-01 00:00:00

  • Where There's Smoke, There's Fire? Significance of Atrial Fibrillation in Young Patients.

    abstract:BACKGROUND:Atrial fibrillation (AF), a disease of the elderly, occasionally occurs at younger age. Pathophysiology of AF in younger patients is diverse, including channelopathies and cardiomyopathies. Data on the significance and complications of AF in young patients are scarce. HYPOTHESIS:Atrial fibrillation is the f...

    journal_title:Clinical cardiology

    pub_type: 杂志文章


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    更新日期:2016-04-01 00:00:00

  • Where we live: The impact of neighborhoods and community factors on cardiovascular health in the United States.

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    journal_title:Clinical cardiology

    pub_type: 杂志文章,评审


    authors: Xiao YK,Graham G

    更新日期:2019-01-01 00:00:00

  • Antianginal and anti-ischemic effects of nisoldipine and ramipril in patients with syndrome X.

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    journal_title:Clinical cardiology

    pub_type: 临床试验,杂志文章


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    更新日期:1999-05-01 00:00:00

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    journal_title:Clinical cardiology

    pub_type: 杂志文章,评审


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    更新日期:1991-06-01 00:00:00

  • Unloading the right ventricle in the CREST syndrome variant of progressive systemic sclerosis (scleroderma).

    abstract::A patient with severe pulmonary hypertension secondary to the CREST syndrome variant of scleroderma is described. Acute reductions in both pulmonary artery pressure and total pulmonary resistance were seen with nifedipine and oxygen administration. Reductions in resistance were maintained for over one month with this ...

    journal_title:Clinical cardiology

    pub_type: 杂志文章


    authors: Morrison D,Goldman S,Alepa FP

    更新日期:1984-01-01 00:00:00

  • Peripheral arterial tonometry for risk stratification in men with coronary artery disease.

    abstract:BACKGROUND:Coronary artery disease (CAD) risk is not fully revealed by traditional risk factors. Identification of a simple, noninvasive tool that allows for detection of high-risk CAD patients and can be applied in large populations and clinical settings would prove valuable. HYPOTHESIS:We sought to test the hypothes...

    journal_title:Clinical cardiology

    pub_type: 杂志文章


    authors: Heffernan KS,Karas RH,Patvardhan EA,Jafri H,Kuvin JT

    更新日期:2010-02-01 00:00:00

  • Late percutaneous coronary intervention prevents left ventricular remodeling and improves clinical outcomes in patients with ST-elevation myocardial infarction.

    abstract:BACKGROUND:The optimal strategy for treating late presenters of ST-elevation myocardial infarction (STEMI) remains uncertain. HYPOTHESIS:percutaneous coronary intervention (PCI) has a favorable effect on left ventricular (LV) remodeling and clinical outcomes in late presenters of STEMI. METHODS:Patients with STEMI wh...

    journal_title:Clinical cardiology

    pub_type: 杂志文章,多中心研究


    authors: Fan Y,Bai X,Chen Y,Shen G,Lu Q,Wan Z,Zhou D,Shen Y,Ma A

    更新日期:2015-02-01 00:00:00

  • Elimination of unstable angina by diltiazem under temporary pacing.

    abstract::We describe two patients in whom spontaneous angina following acute myocardial infarction (postinfarction angina caused by coronary artery spasm) and worsening angina were successfully eliminated after clinical dosage of oral diltiazem, while marked sinus node suppression developed and temporary pacing was performed. ...

    journal_title:Clinical cardiology

    pub_type: 杂志文章


    authors: Ishikawa T,Imamura T,Koiwaya Y,Tanaka K

    更新日期:1984-11-01 00:00:00

  • Evaluation of insulin resistance in normoglycemic patients with coronary artery disease.

    abstract:BACKGROUND:Insulin resistance is clearly associated with coronary artery disease (CAD) in diabetics. Insulin resistance may also be present in normoglycemic individuals, and some of these patients can be diagnosed as having metabolic syndrome (MS) according to various definitions. However, the relationship between hype...

    journal_title:Clinical cardiology

    pub_type: 杂志文章


    authors: Deveci E,Yesil M,Akinci B,Yesil S,Postaci N,Arikan E,Koseoglu M

    更新日期:2009-01-01 00:00:00

  • Effects on infarct size and left ventricular function of early intravenous injection of anistreplase in acute myocardial infarction. The APSIM Study Investigators.

    abstract::A total of 231 patients suffering from a first acute myocardial infarction were randomly allocated within 4 hours following the onset of symptoms either to anistreplase or anisoylated plasminogen streptokinase activator complex (APSAC), 30 U over 5 minutes, or to conventional heparin therapy, 5000 IU in bolus injectio...

    journal_title:Clinical cardiology

    pub_type: 临床试验,杂志文章,随机对照试验,评审


    authors: Bassand JP,Bernard Y,Lusson JR,Machecourt J,Cassagnes J,Borel E

    更新日期:1990-03-01 00:00:00

  • Regression of left ventricular mass in systemic hypertension.

    abstract::The importance of treatment in systemic hypertension and cardiovascular morbidity and mortality has been established. Although systemic hypertension is the most important factor in the pathogenesis of left ventricular hypertrophy, other factors such as catecholamines and renin-angiotensin system may be involved. Incre...

    journal_title:Clinical cardiology

    pub_type: 杂志文章,评审


    authors: Georgiou D,Brundage BH

    更新日期:1992-01-01 00:00:00

  • Prolonged low-dose thrombolytic therapy: a novel adjunctive strategy in the management of an infected right atrial thrombus.

    abstract::An 81-year-old man presented with a large, infected right atrial thrombus that was refractory to anticoagulants and several courses of antibiotics. The risk of surgical removal of the thrombus, which was associated with a pacemaker electrode, was considered prohibitive. The patient was treated for 7 days with low-dose...

    journal_title:Clinical cardiology

    pub_type: 杂志文章


    authors: Chuang S,Mehta RH,Fay WP

    更新日期:2002-07-01 00:00:00

  • High-energy catheter ablation of cardiac arrhythmias: an outmoded technique in the 1990s.

    abstract::Catheter ablation has become an accepted technique for creating complete heart block in patients with drug refractory supraventricular tachycardias. However, it remains experimental for other indications, such as ablation of accessory pathway or ventricular tachycardia. The use of high energy defibrillator discharges ...

    journal_title:Clinical cardiology

    pub_type: 杂志文章,评审


    authors: Cunningham D

    更新日期:1991-07-01 00:00:00

  • Acute infarction of the left ventricular papillary muscle: electrocardiographic pattern and recognition of its location.

    abstract:BACKGROUND AND HYPOTHESIS:ST-segment depression during acute myocardial infarction (AMI) is known to herald serious hemodynamic complications. Since the mechanism of this dependence is not clear, we reinvestigated the old concept of papillary muscle infarction (PMI) as a cause of marked ST depression. METHODS:Autopsie...

    journal_title:Clinical cardiology

    pub_type: 杂志文章


    authors: Dabrowska B,Walczak E,Prejs R,Zdzienicki M

    更新日期:1996-05-01 00:00:00

  • Hypercholesterolemia paradox in relation to mortality in acute coronary syndrome.

    abstract:BACKGROUND:Hypercholesterolemia is a risk factor for coronary artery disease, yet is associated with lower risk of adverse outcomes in patients with acute coronary syndromes (ACS). HYPOTHESIS:We explored this paradox in 84,429 patients with non-ST-segment elevation ACS in the Can Rapid Risk Stratification of Unstable ...

    journal_title:Clinical cardiology

    pub_type: 杂志文章


    authors: Wang TY,Newby LK,Chen AY,Mulgund J,Roe MT,Sonel AF,Bhatt DL,DeLong ER,Ohman EM,Gibler WB,Peterson ED

    更新日期:2009-09-01 00:00:00

  • Ranolazine in Cardiac Arrhythmia.

    abstract::Ranolazine utilization in the management of refractory angina has been established by multiple randomized clinical studies. However, there is growing evidence showing an evolving role in the field of cardiac arrhythmias. Multiple experimental and clinical studies have evaluated the role of ranolazine in prevention and...

    journal_title:Clinical cardiology

    pub_type: 杂志文章,评审


    authors: Saad M,Mahmoud A,Elgendy IY,Richard Conti C

    更新日期:2016-03-01 00:00:00

  • Fluoroscopy usage in contemporary interventional electrophysiology: Insights from a European registry.

    abstract:BACKGROUND:Fluoroscopy has been an essential part of every electrophysiological procedure since its inception. However, till now no clear standards regarding acceptable x-ray exposure nor recommendation how to achieve them have been proposed. HYPOTHESIS:Current norms and quality markers required for optimal clinical r...

    journal_title:Clinical cardiology

    pub_type: 杂志文章


    authors: Kosiuk J,Fiedler L,Ernst S,Duncker D,Pavlović N,Guarguagli S,Stegmann C,Miskowiec D,Garcia R,Russo V,Yakushev A,Szegedi N,De Potter T

    更新日期:2021-01-01 00:00:00