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Anaesthesia for adult patients with acquired heart disease for non-cardiac surgery 

Anaesthesia for adult patients with acquired heart disease for non-cardiac surgery
Chapter:
Anaesthesia for adult patients with acquired heart disease for non-cardiac surgery
Author(s):

Alastair F. Nimmo

and Matthew T. Royds

DOI:
10.1093/med/9780199653478.003.0024
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date: 15 October 2019

Many more patients with heart disease undergo non-cardiac surgery than cardiac surgery. For this reason, the general anaesthesiologist needs to understand the pathophysiology of heart disease and it treatment. This chapter discusses the assessment and management of patients with coronary artery disease, cardiac failure, and valvular heart disease presenting for non-cardiac surgery. Risk modification is discussed including optimal use of drug therapies including statins, beta-blockers, and antiplatelet agents. The value of coronary artery bypass grafting surgery before elective non-cardiac surgery as is the management of patients with coronary stents, are addressed. Finally, the perioperative management including anaesthesia, monitoring, and postoperative care are reviewed.

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