Cardiovascular Medicine Book

http://www.fpnotebook.com/

Surgical Risk for Cardiac EventAka: High Risk Surgery, Intermediate Risk Surgery, Low Risk Surgery, Category I Surgery

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  1. Indications
    1. Preoperative Cardiovascular Evaluation
  2. Type: High risk surgery (Cardiac Risk >5%)
    1. Emergency surgery (especially over age 75 years)
    2. Cardiac procedures
    3. Aortic or other major vascular procedures
    4. Peripheral arterial vascular procedures
    5. Prolonged surgery anticipated (>2 hours)
      1. Anticipated large fluid shift or blood loss
      2. Examples: Whipple Procedure, Major spinal surgery
  3. Type: Intermediate risk surgery (Cardiac Risk 1-5%)
    1. Orthopedic surgery
    2. Urologic surgery
    3. Uncomplicated abdominal or thoracic surgery
    4. Uncomplicated head and neck surgery
    5. Carotid endarterectomy
    6. Prostate Surgery
  4. Type: Low risk surgery (Category I, Cardiac Risk <1%)
    1. Endoscopy
    2. Bronchoscopy
    3. Hysteroscopy
    4. Cystoscopy
    5. Dermatologic procedures (skin and subcutaneous tissue)
    6. Breast biopsy or other breast surgery
    7. Ophthalmologic Procedures (e.g. Cataract resection)

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