The global perspective of cardiovascular assessment for non-cardiac surgery: Comparisons from around the world

Shalini Dhir, Achal Dhir.

Journal of Cardiothoracic and Vascular Anesthesia. Available online 7 March 2019.

Objective: To provide a critical overview of the available important guidelines and summarize, compare and contrast them.

Key Words: Perioperative care, Anesthesia Assessment Guidelines, Non-cardiac surgery, Pre-operative cardiac testing

Introduction: ADULTS older than 55 years are increasingly being affected by cardiovascular disease, cerebrovascular disease, and diabetes mellitus with a growing risk of perioperative complications. As newer therapies undoubtedly are improving survival, the growing aged population with ubiquitous cardiovascular disease will be subjected to surgery sometime during their lifetime. The likelihood of having surgery is quadrupled in this group when contrasted with the general population. As the world demographics change, the surgical burden, an “indivisible, indispensable part of health care,” is expected to grow exponentially.

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