Step wise approach For Cardiac patient undergone Non-cardiac surgery
ESC \ESA Guidelines on non cardiac surgery for cardiac patients
Scope of Guidelines
Peri-operative risk assessment
Patient risk factors , Surgical risk factors , Anaesthesia risk factor
Pre- OP Risk Indices (Revised Cardiac Risk Index (RCRI). NSQIP. National Surgical Quality Improvement Program risk scores)
The role for Biomarkers in cardiac patients
When to ask for Cardiac Testing ?Invasive or Non-invasive?
How to provide information three cardiac risk markers
LV dysfunction.
myocardial ischaemia.
heart valve abnormalities
Risk reduction strategies either pharmacological or revascularizations
Guidelines for Beta blockers
What about Statins, ACEIs & ARBs , Diuretics , Nitrates , Anti-platelet Therapy , NSAIDs
Perioperative management in patients on anticoagulants
Bridging therapy , Reversal of anti-platelet therapy for patient with urgent or elective surgery
Timing of Elective Noncardiac Surgery in Patients With Previous PCI
Stepwise Approach to Perioperative Cardiac Assessment with clinical application on high risk & low risk cardiac paitients.
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