Pre-existing cardiac disease contributes significantly to morbidity and mortality amongst patients undergoing non cardiac surgery. Patients with pre-existing cardiac disease or with risk factors for it, have as much as a 3.9% risk of suffering a major perioperative cardiac event (Lee et al 1999, Devereaux 2005). Furthermore, the incidence of perioperative myocardial infarction (MI) is increased 10 to 50 fold in patients with previous coronary events (Jassal 2008).
BertrandC.A.1971Disturbances of cardiac rhythm during anesthesia and surgeryJournal of American Medical Association2161615–17
2.
BurtV.L.1995Prevalence of hypertension in the US adult population. Results from the Third National Health and Nutrition Examination Survey 1988–1991Hypertension25(3) 303–4
3.
CharlsonM.E.1991Risk for postoperative congestive heart failureSurgery Gynaecology and Obstetrics172(2) 95–104
4.
CohenM.C.1999Histological analysis of coronary artery lesions in fatal postoperative myocardial infarctionCardiovascular Pathology8133–9
5.
DawoodM.M.1996Pathology of fatal perioperative myocardial infarction: implications regarding pathophysiology and preventionInternational Journal of Cardiology5737–44
6.
Department of Health2013Hospital episode statistics Available from: www.hscic.gov.uk/ hes Health and Social Care Information Centre [Accessed September 2013]
7.
DevereauxP.J.2005Perioperative cardiac events in patients undergoing noncardiac surgery: a review of the magnitude of the problem, the pathophysiology of the events and methods to estimate and communicate riskCanadian Medical Association Journal173627–34
8.
EagleK.A.2002Guideline update for perioperative cardiovascular evaluation for noncardiac surgery. A report of the American College of Cardiology/ American Heart Association Task Force on Practice GuidelinesAnesthesia & Analgesia94(5) 1052–64
9.
EllisS.G.1996Angiographic correlates of cardiac death and myocardial infarction complicating major nonthoracic vascular surgeryAmerican Journal of Cardiology771126–8
10.
GoldmanL.1977Multifactorial index of cardiac risk in noncardiac surgical proceduresNew England Journal of Medicine297845–50
11.
GrobanL.2006Perioperative management of chronic heart failureAnesthesia & Analgesia103(3) 557–75
12.
HowellS.J.2004Hypertension, hypertensive heart disease and perioperative cardiac riskBritish Journal of Anaesthesia92570–83
13.
HuntS.A.2003ACC/AHA guidelines for the evaluation and management of chronic heart failure in the adult: an executive summaryJournal of Heart and Lung Transplant21189–203
KatzR.L.1970Cardiac arrhythmias during anaesthesia and operationAnesthesiology33193–213
16.
LeeT.H.1999Derivation and prospective validation of a simple index for prediction of cardiac risk of major noncardiac surgeryCirculation1001043–49
17.
LeeA., FleischerJ.A., BeckmanK.A.2007Guidelines on perioperative cardiovascular evaluation and care for noncardiac surgery. A report of the American College of Cardiology/ American Heart Association Task Force on Practice Guidelines Circulation 116 1971–96
18.
ManganoD.T.1990Association of perioperative myocardial ischemia with cardiac morbidity and mortality in men undergoing noncardiac surgery. The Study of Perioperative Ischemia Research GroupNew England Journal of Medicine323(26) 1781–8
19.
The Study of Perioperative Ischemia Research GroupNew England Journal of Medicine323(26) 1781–8
20.
ReynoldsT.M.2006National Institute for Health and Clinical Excellence guidelines on preoperative tests: the use routine of preoperative tests for elective surgeryAnnals of Clinical Biochemistry43(1) 13–16
21.
ShahK.B.1990Angina and other risk factors in patients with cardiac disease undergoing non-cardiac operationsAnesthesia & Analgesia70(3) 240–7
22.
StewartB.F.1997Clinical factors associated with calcific aortic valve disease. Cardiovascular health studyJournal of American College of Cardiology29(3) 630–4
