Preoperative Evaluation of Patients with Cardiovascular disease

Introduction: A detailed preoperative evaluation is necessary for patients with cardiovascular disease posted for surgery as it helps in identification, stratification and if required modification of risk factors. It also helps in optimizing the patient’s general condition prior to surgery. It guides in deciding the best suitable anesthesia management for that patient.Aims:The aims of preoperative evaluation are: Identify the patients at risk, evaluate the severity of underlying cardiovascular disease, and determine the extent of risk and the need for preoperative interventions to decrease the risk of perioperative complications.Methods:The preoperative evaluation includes:1-History: onset, duration, progress of disease, treatment and complications developed if any. It should include details of medications.2-Physical examination of the patient: In addition to general examination, systemic examination, from cardiac Point is needed.3-Investigations: blood investigations, chest radiograph, electrocardiograph.4-Diagnostic tests or procedures.Conclusion:The detailed preoperative evaluation in fact, decreases the perioperative morbidity and mortality.

کلیدواژه ها:

Cardiac surgery ، Preoperative evaluation