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. 2024 Dec 17;5(1):oeae105.
doi: 10.1093/ehjopen/oeae105. eCollection 2025 Jan.

Where your heart lies across the Atlantic may demand further assessment in cardiovascular management for non-cardiac surgery

Benjamin Marchandot  1   2 , Adrien Carmona  1   2 , Olivier Morel  1   2   3
Affiliations

Where your heart lies across the Atlantic may demand further assessment in cardiovascular management for non-cardiac surgery

Benjamin Marchandot et al. Eur Heart J Open. .
No abstract available

Keywords: Cardiac Biomarkers; Guidelines; Non-cardiac surgery.

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Conflict of interest statement

Conflict of interest: The authors declare that there are no conflicts of interest or competing financial interests to disclose regarding the manuscript under consideration for publication in EHJ. O.M. has received grants from AstraZeneca, Medtronic and Boehringer Ingelheim. O.M’s institution has been awarded grants by ‘Fondation Cœur et Recherche’ and ‘Endofrance,’ two reputable charities in France committed to advancing research initiatives. B.M. and A.C. have no competing interests.

Figures

Figure 1
Figure 1
Variations among the United States, ESC, and Canadian guidelines in evaluating perioperative cardiac risk for a 65-year-old male with no cardiovascular risk factors or history of cardiovascular disease, and scheduled for an elective cholecystectomy. BNP, B-type natriuretic peptide; CAD, coronary artery disease; ECG, electrocardiogram; MACE, major cardiac events; NCS, non-cardiac surgery; RCRI, revised cardiac risk index. *Cardiovascular risk factors: hypertension, smoking, high cholesterol, diabetes, women age >65 years; men age >55 years; obesity; family history of premature coronary artery disease. †Determining elevated calculated risk depends on the calculator used. Traditionally, revised cardiac risk index >1 or a calculated risk of major cardiac events with any perioperative risk calculator >1% is used as a threshold to identify patients at elevated risk. †† Determining if the patient has any of the following risk modifiers: severe valvular heart disease; severe pulmonary hypertension, elevated risk congenital heart disease, priori coronary stents/coronary artery bypass grafting; recent stroke; cardiac implantable electronic device (pacemaker/implantable cardioverter defibrillators); frailty.
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