非心脏手术患者冠心病危险分层及决策
摘要
冠状动脉粥样硬化性心脏病（简称冠心病）是外科非心脏手术患者围术期并发症和死亡发生的重要原因.在美国,每年大约有2700万患者接受非心脏手术,而多达5万例患者于术后发生心肌梗死.POISE研究显示,非心脏手术围术期死亡率为2.7％,其中1.6％为心血管源性死亡,心血管事件约占非心脏手术相关性死亡原因的50％.
出处
《临床内科杂志》
CAS
2013年第7期437-439,共3页
Journal of Clinical Internal Medicine
参考文献17
-
1Devereaux PJ,Yang H,Yusuf S,et al.Effects of extended-release metoprolol succinate in patients undergoing non-cardiac surgery(POISE trial):a randomised controlled trial.Lancet,2008,371:1839-1847.
-
2Palda VA,Detsky AS.Perioperative assessment and management of risk from coronary artery disease.Ann Intern Med,1997,127:313-328.
-
3Sicari R.Perioperative risk stratification in non cardiac surgery:role of pharmacological stress echocardiography.Cardiovasc Ultrasound,2004,2:4.
-
4Kertai MD.A meta-analysis comparing the prognostic accuracy of six diagnostic tests for predicting perioperative cardiac risk in patients undergoing major vascular surgery.Heart,2003,89:1327-1334.
-
5Vanzetto G,Machecourt J,Blendea D.Additive value of thallium singlephoton emission computed tomography myocardial imaging for prediction of perioperative events in clinically selected high cardiac risk patients having abdominal aortic surgery.Am J Cardiol,1996,77:143-148.
-
6Etchells E,Meade M,Tomlinson G,et al.Semiquantitative dipyridamole myocardial stress perfusion imaging for cardiac risk assessment before noncardiac vascular surgery:a metaanalysis.J Vasc Surg,2002,36:534-540.
-
7Fleisher LA,Beckman JA,Brown KA,et al.ACC/AHA 2007 guidelines 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.J Am Coll Cardiol,2007,50:1707-1732.
-
8Holt NF.Perioperative cardiac risk reduction.Am Fam Physician,2012,85:239-246.
-
9Fleisher LA,Beckman JA,Brown KA,et al.2009 ACCF/AHA focused update on perioperative beta blockade incorporated into the ACC/AHA 2007 guidelines on perioperative cardiovascular evaluation and care for noncardiac surgery:a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines.Circulation,2009,120:e169-e276.
-
10Winchester DE,Wen X,Xie L,et al.Evidence of pre-procedural statin therapy:a meta-analysis of randomized trials.J Am Coll Cardiol,2010,56:1099-1109.
-
1朱海勇,王肖铭,刘素芝,李丹.急性心血管源性腹痛39例临床分析[J].临床医学,2007,27(4):49-50.
-
2方峻,夏凌辉,魏文宁,宋善俊.尿毒症患者凝血因子Ⅶ水平及其影响因素[J].中国实验血液学杂志,2004,12(6):730-732. 被引量：10
