Perioperative Cardiovascular Risk Stratification and Modification
Year: 2004
Type: dissertation
Abstract: Worldwide, annually approximately 100 million people undergo some form of non-cardiac surgery.\nCardiac events, such as myocardial infarction are a major cause of perioperative morbidity and mortality\nin these patients. Though the true incidence of perioperative cardiac complications is difficult\nto assess, it is estimated that approximately 2.0–3.5% of patients undergoing major non-cardiac\nsurgery experience a major adverse cardiac event. Furthermore an estimated 0.5–1.5% of patients\ndie within 30 days after the surgical procedure due to a cardiovascular cause. The pathophysiology\nof perioperative cardiac events is complex. Similar to the non-operative setting it is thought that\napproximately half of all perioperative myocardial infarctions are attributable to a sustained coronary\noxygen demand/supply mismatch. Coronary plaque rupture, leading to thrombus formation\nand subsequent vessel occlusion, is thought to be the other important cause of acute perioperative\ncoronary syndromes.
Author: Olaf Schouten
Language: English
Subfield: Cardiology and Cardiovascular Medicine
Field: Medicine
Domain: Health Sciences
Open Access status: green
OpenAlex ID: W2163292303