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Pre-op cardiac clearance and indication for bridging is one of the most common items in primary care/hospital medicine. 2014 ACC/AHA guideline states unless emergency surgery, 2 questions are critical: MI <30 days, Functional capacity >4 METS. Use of biomarkers for MINS (MI after noncardiac surgery) if RCRI >1 (Fig. 18.2). Post-PCI patient and timing of surgery, PRF for respiratory complications (Table 18.3). Bridging therapy is a moving target, please refer Table 18.5 for current practice. Please use CVA predictor after CABG (Table 18.8) and post-op delirium prediction rule (Table 18.9).

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Perioperative Medicine

  • 章节

  • 发表日期：

    2025年

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  • Masahiro J Morikawa

摘要

Pre-op cardiac clearance and indication for bridging is one of the most common items in primary care/hospital medicine. 2014 ACC/AHA guideline states unless emergency surgery, 2 questions are critical: MI <30 days, Functional capacity >4 METS. Use of biomarkers for MINS (MI after noncardiac surgery) if RCRI >1 (Fig. 18.2). Post-PCI patient and timing of surgery, PRF for respiratory complications (Table 18.3). Bridging therapy is a moving target, please refer Table 18.5 for current practice. Please use CVA predictor after CABG (Table 18.8) and post-op delirium prediction rule (Table 18.9).