What's New in Preoperative Cardiac Testing

Abstract

More than 300 million surgeries are performed annually worldwide. Patients are progressively aging and often have multiple comorbidities that put them at increased cardiovascular risk in the perioperative period. The United States published latest guidelines regarding preoperative cardiac evaluation and risk stratification for patients undergoing non-cardiac surgery in 2014. There are multiple risk stratification tools available that can help guide management. Furthermore, newer laboratory tests, such as preoperative NT-proBNP and high-sensitivity troponin assays, may aid in preventing and diagnosing perioperative myocardial injury.

Keywords: COVID-19 and perioperative risk; Coronary computed tomography angiography (CCTA); Duke activity status index (DASI); High-sensitivity troponin (hs-cTn); Major adverse cardiac event (MACE); Preoperative NT-proBNP; Revised cardiac risk index (RCRI).