2014ACCAHA 非心脏手术围手术期心血管评估与治疗指南(国外英文资料).docVIP

2014ACCAHA 非心脏手术围手术期心血管评估与治疗指南(国外英文资料) 2014ACC/AHA guidelines for perioperative cardiovascular evaluation and treatment in noncardiac surgery 2014-08-19 06:31 source: Lilac Garden Author: Qingrejiedu 2 font size -|+ Recently, the American Heart Association (ACC) and the American Heart Association (AHA) practice guidelines group released the latest guidelines for perioperative cardiovascular evaluation and treatment in patients with noncardiac surgery. The full text was released simultaneously on JACC and Circulation in August 1st. I. Introduction The guide evidence mainly from clinical experience and observational studies, from a small number of prospective randomized controlled study, while also taking into account registration studies, cohort study, descriptive study and systematic review, the main guide provides guidance for non cardiac surgery in adult patients with perioperative cardiovascular evaluation and treatment, including perioperative risk assessment cardiovascular detection and perioperative treatment and monitoring, including: 1, assessing perioperative risk, choice or operation of guiding operation; 2, evaluation of treatment does not change the need to make decisions, for the treatment of the change; 3, a clear need for cardiovascular risk factors or long-term treatment. Although the risk stratification model past the risk of surgery were divided into low risk, and high-risk, and in the new guidelines, the guidelines writing committee will simplify the classified as low risk (the risk of major adverse cardiac events (1%) and an increased risk of major cardiac risk more than 1% adverse events). The Committee believes that the collaborative perioperative team is the cornerstone of perioperative assessment, which relies on close communication among surgeons, anesthesiologists, and primary caregivers. Patients should be involved in this partnership, respect the patients options and goals, and promote decision-making sharing. Two. Clinical risk factors V