What is new in 2022 ESC guidelines on cardiovascular assessment and management of patients undergoing non‑cardiac surgery

Česká verzia

Authors: Bronislav Čapek; Jan Václavík
Authors place of work: Interní a kardiologická klinika Fakultní nemocnice Ostrava a Lékařská fakulta Ostravské univerzity ; Interní oddělení, Sdružené zdravotnické zařízení Krnov, p. o.
Published in the journal: Vnitř Lék 2023; 69(1): 14-22
Category: Review Articles
doi: https://doi.org/10.36290/vnl.2023.002

Summary

In 2022, the European Society of Cardiology has published updated guidelines for the cardiovascular evaluation and management of patients undergoing non-cardiac surgery. In this article we briefly summarize the most important recommendations with an emphasis on their use in everyday clinical practice – from the complex assessment of cardiovascular risk and prediction of cardiovascular complications, through the indication of basic paraclinical examinations, the importance of biomarkers, adjustments to pharmacotherapy of heart failure, adjustments to anticoagulant and antiplatelet therapy, to other specifics of individual cardiovascular and other diseases and their importance in the perioperative period. Knowledge and use of these recommendations have the potential to improve the prognosis of patients undergoing various types of surgical procedures.

Keywords:

pharmacotherapy – biomarkers – cardiovascular risk – preoperative management

Zdroje

1. 2022 ESC Guidelines on cardiovascular assessment and management of patients undergoing non‑cardiac surgery: Developed by the task force for cardiovascular assessment and management of patients undergoing non‑cardiac surgery of the European Society of Cardiology (ESC) Endorsed by the European Society of Anaesthesiology and Intensive Care (ESAIC), European Heart Journal, 2022;, ehac270, https://doi.org/10.1093/eurheartj/ehac270

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