Preoperative Cardiac Considerations in General Surgical Patients

  • Jadd Koury
  • Pinckney J. MaxwellEmail author
  • David S. Tichansky


The elderly (age over 65) are the largest growing population in the United States and the patients in whom the majority of surgical procedures are performed. Coronary artery disease (CAD) is the most common cause of mortality in the elderly and can alter surgical outcomes. Assessing preoperative cardiac risk is essential to ensure optimal outcomes in patients undergoing noncardiac surgical procedures.


Clinical Risk Factor Noncardiac Surgery Preoperative Anemia Unstable Coronary Syndrome Occult Coronary Artery Disease 
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Selected Reading

  1. 1.
    Fleisher L, Beckman JA, Brown KA. Hugh Calkins, et al. ACC/AHA 2007 Guidelines on perioperative cardiovascular evaluation and care for noncardiac surgery: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Revise the 2002 Guidelines on Perioperative Cardiovascular Evaluation for Noncardiac Surgery). Circulation. 2007;116:e418–500.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2012

Authors and Affiliations

  • Jadd Koury
    • 1
  • Pinckney J. Maxwell
    • 2
    Email author
  • David S. Tichansky
    • 3
  1. 1.Department of SurgeryMonmouth Medical CenterLong BranchUSA
  2. 2.Division of Colon and Rectal Surgery, Department of SurgeryThomas Jefferson UniversityPhiladelphiaUSA
  3. 3.Minimally Invasive and Bariatric SurgeryThomas Jefferson UniversityPhiladelphiaUSA

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