Perioperative Evaluation and Management of Patients With Cardiovascular Disease Undergoing Noncardiac Surgery

Noncardiac surgery is a frequently used procedure in cardiac patients. As both the prevelance of cardiac patients and noncardiac surgery indications are higher in advanced age group, this will be a more frequently encountered problem in the near fu ture consisting that there will be more cardiac patients in te advanced age group. Unfavourable effects of surgery to cardiovascular system, prolonged operation time, i ts urgency, severe hemorrage and volume shifts, neurohormonal and hemostatic c hanges, changes of body temperature are the main factors of increased complication rate in a patient who undergoes a noncardiac surgery. Successful perioperative evaluation and treatment of cardiac patients undergoing noncardiac surgery requires careful teamwork and communication between patient, primary care physician, anesthesiologist, and surgeon. Several studies are carried-out in order to reduce the complications, morbidity and mortality in this group of patients and major advances are acheived w ith perioperative care. In this artiele, we rewied the guidelines and major studies about noncardiac surgery in cardiac patients.