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Preoperative Assessment and Perioperative Management of the Surgical Patient With Diabetes Mellitus

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Diabetes and Cardiovascular Disease

Part of the book series: Contemporary Cardiology ((CONCARD))

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Abstract

Patients with diabetes mellitus (DM) are more likely than patients without diabetes to undergo surgery and may be at higher than average risk to suffer perioperative complications, usually because of frequent concomitant cardiovascular disease (CVD). The manifestations of CVD in patients with diabetes are often atypical, making identification and management more difficult (1,2). The role of the physician asked to provide preoperative consultation is to work with the surgical team in assessing and reducing the risk of complications in the perioperative period, and to identify opportunities to make a favorable impact on long-term health. In caring for the patient with diabetes perioperatively, heightened awareness of the higher incidence of coronary artery disease (CAD), silent ischemia, and increased predisposition to postoperative complications of infection, hyperglycemia, and hypoglycemia is necessary to permit the best outcomes to occur.

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Authors and Affiliations

  1. Division of Cardiology, Maine Medical Center, Portland, ME

    Alanna Coolong MD

  2. Maine Cardiology Associates, Maine Medical Center, Portland, ME

    Mylan C. Cohen MD, MPH

  3. Department of Medicine, University of Vermont College of Medicine, Burlington, VT

    Mylan C. Cohen MD, MPH

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  1. Alanna Coolong MD
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  1. Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA

    Michael T. Johnstone MD, CM, FRCP(C)  & Aristidis Veves MD, DSC  & 

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Coolong, A., Cohen, M.C. (2005). Preoperative Assessment and Perioperative Management of the Surgical Patient With Diabetes Mellitus. In: Johnstone, M.T., Veves, A. (eds) Diabetes and Cardiovascular Disease. Contemporary Cardiology. Humana Press. https://doi.org/10.1385/1-59259-908-7:487

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