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Practice Guideline
. 2017 Jan-Feb;109(3 Supl 1):1-104.
doi: 10.5935/abc.20170140.

3rd Guideline for Perioperative Cardiovascular Evaluation of the Brazilian Society of Cardiology

[Article in English, Portuguese]
Danielle Menosi Gualandro, Pai Ching Yu, Bruno Caramelli, André Coelho Marques, Daniela Calderaro, Luciana Savoy Fornari, Claudio Pinho, Alina Coutinho Rodrigues Feitosa, Carisi Anne Polanczyk, Carlos Eduardo Rochitte, Carlos Jardim, Carolina L Z Vieira, Debora Y M Nakamura, Denise Iezzi, Dirk Schreen, Eduardo Leal Adam, Elbio Antonio D'Amico, Emerson Q de Lima, Emmanuel de Almeida Burdmann, Enrique Indalecio Pachón Mateo, Fabiana Goulart Marcondes Braga, Fabio S Machado, Flavio J de Paula, Gabriel Assis Lopes do Carmo, Gilson Soares Feitosa-Filho, Gustavo Faibischew Prado, Heno Ferreira Lopes, João R C Fernandes, José J G de Lima, Luciana Sacilotto, Luciano Ferreira Drager, Luciano Janussi Vacanti, Luis Eduardo Paim Rohde, Luis F L Prada, Luis Henrique Wolff Gowdak, Marcelo Luiz Campos Vieira, Maristela Camargo Monachini, Milena Frota Macatrão-Costa, Milena Ribeiro Paixão, Mucio Tavares de Oliveira Junior, Patricia Cury, Paula R Villaça, Pedro Silvio Farsky, Rinaldo F Siciliano, Roberto Henrique Heinisch, Rogerio Souza, Sandra F M Gualandro, Tarso Augusto Duenhas Accorsi, Wilson Mathias Júnior
Practice Guideline

3rd Guideline for Perioperative Cardiovascular Evaluation of the Brazilian Society of Cardiology

[Article in English, Portuguese]
Danielle Menosi Gualandro et al. Arq Bras Cardiol. 2017 Jan-Feb.

Erratum in

  • Erratum.
    [No authors listed] [No authors listed] Arq Bras Cardiol. 2018 Oct;111(4):642. doi: 10.5935/abc.20180213. Arq Bras Cardiol. 2018. PMID: 30365690 Free PMC article.
No abstract available

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Figures

Figure 1
Figure 1
Flowchart of the III Guideline Perioperative Cardiovascular Evaluation
Figure 2
Figure 2
Flowchart for the evaluation of patients with hs-Tn in the postoperative period
Figure 3
Figure 3
Strategy for the diagnosis of perioperative MI. ECG: Electrocardiogram.
Figure 4
Figure 4
Flowchart for the diagnosis of deep venous thrombosis. DVT: deep venous thrombosis.
Figure 5
Figure 5
Flowchart for the diagnosis of PTE PTE: pulmonary thromboembolism; Chest AngioCT: computed tomography angiography of the chest. * Ventilation/perfusion scintigraphy; contrasted pulmonary angiotomography; serial Doppler of lower limbs; pulmonary angiography by nuclear magnetic resonance.
Figure 6
Figure 6
In-hospital patient algorithm. * < 20 CIGARETTES/DAY: 14 mg patches; 20-30 cigarettes/day: 21 mg patches; 31-40 cigarettes/day: 21 mg + 7 mg patches; > 40 cigarettes/day: 21 mg + 14 mg patches. For all cases, consider the association with nicotine gum or tablet of 4 mg ad libitum. † consider titration of transdermal nicotine dose (avoid doses above 42 mg/day) or substitute for varenicline. ‡ outpatient return in a maximum of one month, with follow-up for a time not lesser than one month. Reduce dose of NRT according to the guidelines applicable to general situations.
See this image and copyright information in PMC

References

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    1. Dakik HA, Kobrossi S, Tamim H. The yield of routine pre-operative cardiovascular evaluation in stable patients scheduled for elective non-cardiac surgery. Int J Cardiol. 2015;186:325–327. - PubMed

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