Preoperative Cardiac Optimization

Another Anaesthesia review discusses the approach to preoperative cardiac risk stratification, hypertension, heart failure, murmurs, beta-blockers and other medication management, and implantable electronic cardiac devices.

Also discussed is the role of preoperative investigation such as EKG, CXR, and Echocardiography, as well as serial monitoring of Troponins and BNP. Some evidence for exercise therapy as a preoperative cardiac prehabilitation is reviewed.

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