Balancing heart risk and surgical delays in complex preoperative care
Medical experts discuss the 2024 AHA/ACC guidelines for managing preoperative cardiovascular risk in elderly patients with multiple chronic conditions. The article highlights the importance of a patient-centered approach to avoid unnecessary testing and surgical delays.
Why it matters
It provides clinical guidance for balancing patient safety with the risks of over-testing in an aging population facing elective surgery.
edited by Sadie Harley , reviewed by Andrew Zinin
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Add as preferred source Credit: Pixabay/CC0 Public Domain In a new Annals "Beyond the Guidelines" feature, a general internal medicine physician and a cardiologist discuss how to evaluate and manage perioperative cardiovascular risk in an older patient with multiple chronic conditions who is preparing for noncardiac surgery. Using the 2024 American Heart Association/American College of Cardiology guideline, which emphasizes a stepwise patient-centered and team-based approach to preoperative cardiac assessment, the experts explore how clinicians can balance the need for preoperative testing with the risks of unnecessary procedures and surgical delays.
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