The increasing number of patients with coronary artery disease (CAD) undergoing major non-cardiac surgery justifies the guidelines concerning preoperative cardiac evaluation. This is compounded by increasing chances for a volatile perioperative period if the underlying cardiac problems are left uncorrected prior to major non-cardiac surgeries. Preoperative cardiac evaluation requires the clinician to assess the patient’s probability to have CAD, severity and stability of CAD, placing these in perspective regarding the likelihood of a perioperative cardiac complication based on the planned surgical procedure. Coronary events like new onset ischemia, infarction, or revascularization, induce a high-risk period of 6 weeks, and an intermediate-risk period of 3 months before performing non-cardiac surgery. This delay is unwarranted in cases where surgery is the mainstay of treatment. The objective of this review is to offer a comprehensive algorithm in the preoperative assessment of patients undergoing pre-operative evaluation and highlight the importance of myocardial perfusion imaging in risk stratifying these patients.
Taalab, K. (2015). Cost-Effectiveness of MPI SPECT for Cardiac Evaluation in Patients Undergoing Non-cardiac Surgeries. Egyptian Journal Nuclear Medicine, 12(12), 70-80. doi: 10.21608/egyjnm.2015.5443
MLA
Khalid Taalab. "Cost-Effectiveness of MPI SPECT for Cardiac Evaluation in Patients Undergoing Non-cardiac Surgeries". Egyptian Journal Nuclear Medicine, 12, 12, 2015, 70-80. doi: 10.21608/egyjnm.2015.5443
HARVARD
Taalab, K. (2015). 'Cost-Effectiveness of MPI SPECT for Cardiac Evaluation in Patients Undergoing Non-cardiac Surgeries', Egyptian Journal Nuclear Medicine, 12(12), pp. 70-80. doi: 10.21608/egyjnm.2015.5443
VANCOUVER
Taalab, K. Cost-Effectiveness of MPI SPECT for Cardiac Evaluation in Patients Undergoing Non-cardiac Surgeries. Egyptian Journal Nuclear Medicine, 2015; 12(12): 70-80. doi: 10.21608/egyjnm.2015.5443
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