Perioperative and Intraoperative Management of Patients with Ischemic Heart Disease Undergoing Noncardiac Surgery: A Comprehensive Evidence-Based Review
Year: 2025
Type: article
Abstract: ABSTRACT: Patients with ischemic heart disease (IHD) undergoing noncardiac surgery face a heightened risk of major adverse cardiac events (MACE), including myocardial infarction (MI), arrhythmias, and cardiac death. This review synthesizes the latest guidelines from the European Society of Cardiology (ESC 2022), American Heart Association/American College of Cardiology (AHA/ACC 2024), European Society of Anaesthesiology and Intensive Care (ESAIC), and American Society of Anesthesiologists (ASA), along with updated evidence from UpToDate and PubMed. Key focus areas include preoperative risk stratification, intraoperative anesthetic management (medication selection, hemodynamic optimization, ventilation strategies), and postoperative monitoring. Emphasis is placed on inhaled vs. intravenous anesthesia, induction techniques, and hypotension management to minimize perioperative cardiac complications. Keywords: Ischemic heart disease, noncardiac surgery, perioperative management, anesthesia, hemodynamics, guidelines
Author: Dr. Yasmin Ali Alissa1, Dr. Basem Adnan Baradie2, Dr. Sahar Hameed Rasheed Alani3, Dr. Hany Fawzi W. Greiss4, Dr. Osama Sami Maki Al Ani5
Institution: Rashid Hospital
Language: English
Subfield: Cardiology and Cardiovascular Medicine
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W6893345172
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