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Related Concept Videos

Cardiac Catheterization I: Pre-Procedure Overview01:28

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Cardiac catheterization is an invasive diagnostic technique used to identify and evaluate structural and functional diseases of the heart and major blood vessels. This technique diagnoses congenital heart disease, coronary artery disease, valvular heart disease, and coronary spasms and assesses ventricular function. It helps guide treatment decisions, including the need for revascularization procedures like percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG) and...
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Imaging Studies for Cardiovascular System V: CT01:28

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Cardiac computed tomography (CT) scanning is an advanced cardiac imaging technique that utilizes CT technology, with or without intravenous (IV) contrast, to produce accurate cross-sectional virtual slices of specific areas of the heart, coronary circulation, and major blood vessels such as the aorta, pulmonary veins, and arteries. The computer processes these slices to generate three-dimensional images. Multidetector CT (MDCT) is a rapid form of CT scanning that captures multiple slices...
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Cardiomyopathy VII: Pre and Post Operative Nursing Management01:28

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Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
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Cardiac Catheterization IV: Nursing Management01:26

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Nursing responsibilities before cardiac catheterization include:Assess for allergies and establish baseline health status.Before cardiac catheterization, assess the patient for allergies to contrast dye. Perform a comprehensive baseline assessment, including vital signs, heart and breath sounds, and a neurovascular assessment of the extremities, noting distal pulses, skin color, and temperature. Instruct the patient to fast for 8-12 hours before the procedure. Evaluate baseline laboratory...
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Imaging Studies for Cardiovascular System III: X-Ray01:20

Imaging Studies for Cardiovascular System III: X-Ray

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The most common cardiovascular diagnostic test is an X-ray. It produces images of the heart, blood vessels, and adjacent structures.
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An X-ray, or radiograph, is a non-invasive method that uses ionizing radiation to take images of internal structures. It is mainly used in cardiac imaging to examine the heart, lungs, and major blood vessels, aiming to identify abnormalities in the heart's size, shape, and position, such as heart failure, congenital defects, and vascular...
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Imaging Studies for Cardiovascular System I:Echocardiography01:17

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Cardiac imaging studies encompass a wide range of noninvasive and minimally invasive techniques designed to visualize the heart's structure and function in detail. One such technique is echocardiography, which uses high-frequency ultrasound waves to produce detailed images of the heart, known as echocardiograms.
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Cardiac Screening in the Noncardiac Surgery Patient.

Waseem Chaudhry1, Mylan C Cohen2

  • 1Cardiovascular Institute, Maine Medical Center, 22 Bramhall Street, Portland, ME 04102, USA; Cardiovascular Institute, Tufts University School of Medicine, Boston, MA, USA.

The Surgical Clinics of North America
|July 22, 2017
PubMed
Summary

This article discusses cardiac conditions before noncardiac surgery, focusing on risk assessment and strategies to minimize complications. It covers urgency, diagnostic testing, and perioperative care for better patient outcomes.

Keywords:
Coronary artery diseaseMyocardial infarctionNoncardiac surgeryPerioperative cardiac screeningRisk assessmentUnstable angina

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Area of Science:

  • Cardiology
  • Anesthesiology
  • Perioperative Medicine

Background:

  • Noncardiac surgery poses risks for patients with cardiac conditions.
  • Preoperative cardiac evaluation is crucial for risk stratification.
  • Minimizing perioperative cardiac events is a key clinical challenge.

Purpose of the Study:

  • To review common cardiac conditions necessitating preoperative evaluation.
  • To outline risk assessment tools and diagnostic testing strategies.
  • To detail perioperative management for reducing cardiac complications.

Main Methods:

  • Literature review of guidelines and clinical studies.
  • Analysis of risk factors and predictive algorithms.
  • Synthesis of evidence-based perioperative strategies.

Main Results:

  • Identification of key cardiac conditions and their associated surgical risks.
  • Guidance on appropriate diagnostic testing based on risk.
  • Recommendations for medical and procedural interventions.

Conclusions:

  • Comprehensive preoperative cardiac assessment is vital for noncardiac surgery.
  • Tailored perioperative management can significantly reduce cardiac morbidity and mortality.
  • Optimizing cardiac health preoperatively improves surgical outcomes.