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| Perioperative Cardiac Evaluation TreeCalc |
The EBMcalc module Perioperative Cardiac Evaluation TreeCalc is available in EBMcalc Complete Edition.
This Decision TreeCalc evaluates the following decision points:
- Non-cardiac surgery required?
- C. A. B. G. within 5 years?
- Recurrent symptoms or signs?
- Recent coronary evaluation?
- Recent coronary angiogram or stress test
- Clinical predictors
- Intermediate clinical predictors
- Surgical risk
- Noninvasive testing
- Minor or no clinical predictors
Decision Tree end points include:
- O. R. and postop risk factor stratification and management
- Operating room
- Consider cancellation of surgery / cardiac cath / appropriate follow up.
- Proceed with surgery with postop risk stratification and risk factor reduction.
- Consider cardiac cath / appropriate follow-up.
- Operating room and postoperative risk stratification and risk factor reduction.
- Consider coronary angiography / appropriate follow-up.
References
- Eagle KA, Gibbons RJ, Antman EM, et al. ACC/AHA guideline update for perioperative cardiovascular evaluation for noncardiac surgery--executive summary: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee to Update the 1996 Guidelines on Perioperative Cardiovascular Evaluation for Noncardiac Surgery). J Am Coll Cardiol. 2002 Feb 6;39(3):542-53. PubMed ID: 11823097
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