Vnitr Lek 2023, 69(1):14-22 | DOI: 10.36290/vnl.2023.002
What is new in 2022 ESC guidelines on cardiovascular assessment and management of patients undergoing non‑cardiac surgery
- Interní oddělení, Sdružené zdravotnické zařízení Krnov, p. o.
- Interní a kardiologická klinika Fakultní nemocnice Ostrava a Lékařská fakulta Ostravské univerzity
In 2022, the European Society of Cardiology has published updated guidelines for the cardiovascular evaluation and management of patients undergoing non-cardiac surgery. In this article we briefly summarize the most important recommendations with an emphasis on their use in everyday clinical practice - from the complex assessment of cardiovascular risk and prediction of cardiovascular complications, through the indication of basic paraclinical examinations, the importance of biomarkers, adjustments to pharmacotherapy of heart failure, adjustments to anticoagulant and antiplatelet therapy, to other specifics of individual cardiovascular and other diseases and their importance in the perioperative period. Knowledge and use of these recommendations have the potential to improve the prognosis of patients undergoing various types of surgical procedures.
Keywords: preoperative management, cardiovascular risk, biomarkers, pharmacotherapy.
Accepted: February 6, 2023; Published: February 17, 2023 Show citation
References
- 2022 ESC Guidelines on cardiovascular assessment and management of patients undergoing non‑cardiac surgery: Developed by the task force for cardiovascular assessment and management of patients undergoing non‑cardiac surgery of the European Society of Cardiology (ESC) Endorsed by the European Society of Anaesthesiology and Intensive Care (ESAIC), European Heart Journal, 2022;, ehac270, https://doi.org/10.1093/eurheartj/ehac270
Go to original source... 
Go to PubMed... - Sioutas G, Tsoulfas G. Frailty assessment and postoperative outcomes among patients undergoing general surgery. Surgeon. 2020;18(6):e55-e66. doi:10.1016/j.surge.2020. 04. 004 Go to original source... Go to PubMed...
- Sowerby RJ, Lantz Powers AG, Ghiculete D, et al. Routine Preoperative Electrocardiograms in Patients at Low Risk for Cardiac Complications During Shockwave Lithotripsy: Are They Useful?. J Endourol. 2019;33(4):314-318. doi:10.1089/end.2019.0053 Go to original source... Go to PubMed...
- Kusunose K, Torii Y, Yamada H, et al. Association of Echocardiography Before Major Elective Non‑Cardiac Surgery With Improved Postoperative Outcomes - Possible Implications for Patient Care. Circ J. 2019;83(12):2512-2519. doi:10.1253/circj.CJ-19-0663 Go to original source... Go to PubMed...
- Kaw R, Hernandez AV, Pasupuleti V, et al. Effect of diastolic dysfunction on postoperative outcomes after cardiovascular surgery: A systematic review and meta‑analysis. J Thorac Cardiovasc Surg. 2016;152(4):1142-1153. doi:10.1016/j.jtcvs.2016. 05. 057 Go to original source...
- Wong J, Lam DP, Abrishami A, Chan MT, Chung F. Short‑term preoperative smoking cessation and postoperative complications: a systematic review and meta‑analysis. Can J Anaesth. 2012;59(3):268-279. doi:10.1007/s12630-011-9652-x Go to original source... Go to PubMed...
- Bamgbade OA, Rutter TW, Nafiu OO, Dorje P. Postoperative complications in obese and nonobese patients. World J Surg. 2007;31(3):556-561. doi:10.1007/s00268-006-0305-0 Go to original source... Go to PubMed...
- Hoeks SE, Scholte Op Reimer WJ, van Urk H, et al. Increase of 1-year mortality after perioperative beta‑blocker withdrawal in endovascular and vascular surgery patients. Eur J Vasc Endovasc Surg. 2007;33(1):13-19. doi:10.1016/j.ejvs.2006. 06. 019 Go to original source...
- Gregory A, Stapelfeldt WH, Khanna AK, et al. Intraoperative Hypotension Is Associated With Adverse Clinical Outcomes After Noncardiac Surgery. Anesth Analg. 2021;132(6):1654-1665. doi:10.1213/ANE.0000000000005250 Go to original source... Go to PubMed...
- Wang AS, Armstrong EJ, Armstrong AW. Corticosteroids and wound healing: clinical considerations in the perioperative period. Am J Surg. 2013;206(3):410-417. doi:10.1016/j.amjsurg.2012. 11. 018 Go to original source... Go to PubMed...
- Jamali S, Dagher M, Bilani N, et al. The Effect of Preoperative Pneumonia on Postsurgical Mortality and Morbidity: A NSQIP Analysis. World J Surg. 2018;42(9):2763-2772. doi:10.1007/s00268-018-4539-4 Go to original source... Go to PubMed...