Perioperative Cardiac Considerations in the Surgical Patient

Area of Science:

• Cardiology
• Podiatric Surgery
• Perioperative Medicine

Background:

• Foot and ankle surgery requires careful patient evaluation, especially for those with cardiac disease.
• Podiatric practice frequently encounters patients with common cardiac risk factors like diabetes and peripheral arterial disease.
• Identifying patients at high risk for major adverse cardiac events perioperatively is crucial.

Purpose of the Study:

• To emphasize the necessity of identifying and evaluating patients with cardiac disease in podiatric surgery.
• To highlight the importance of preoperative cardiology consultation for at-risk patients.
• To outline strategies for mitigating perioperative cardiac events through risk factor management.

Main Methods:

• Review of common cardiac risk factors in podiatric practice.
• Assessment of patient functional capacity.
• Preoperative cardiology consultation and work-up protocols.

Main Results:

• Proactive identification and evaluation of cardiac risk factors can prevent adverse cardiac events.
• Optimized medical and interventional treatment plans reduce perioperative cardiac risks.
• Cardiology consultation leads to improved patient outcomes in foot and ankle surgery.

Conclusions:

• Identifying and managing cardiac disease is essential for successful foot and ankle surgery.
• Preoperative cardiology consultation is recommended for patients with cardiac risk factors.
• Risk factor mitigation through targeted treatment plans optimizes surgical outcomes and patient safety.