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Checkliste kardiovaskuläres Risiko

Checkliste kardiovaskuläres Risiko. Risikofaktor Myokardischämie. Erhöhung des Risikos perioperativer Komplikationen: - VT und Herzinsuffizienz um Faktor 2,8 - Koronarsyndrom, AMI, Herztod um Faktor 9,2 Inzidenz 0,1- 15 % (vor allem gefäßchir. Pat.) 80 % verlaufen zunächst stumm

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Checkliste kardiovaskuläres Risiko

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  1. Checkliste kardiovaskuläres Risiko Dr.Kai-Uwe Döbel

  2. Risikofaktor Myokardischämie • Erhöhung des Risikos perioperativer Komplikationen: - VT und Herzinsuffizienz um Faktor 2,8 - Koronarsyndrom, AMI, Herztod um Faktor 9,2 • Inzidenz 0,1- 15 % (vor allem gefäßchir. Pat.) • 80 % verlaufen zunächst stumm • 25 % prä/intraoperativ und 50% postoperativ • bei Kombination von Alter > 65J, Hypertonie, Hypercholesterinämie, Diabetes, Nikotinabusus beträgt das Risiko von kardialen Komplikationen 34 % Dr.Kai-Uwe Döbel

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  6. American College of Cardiology/American Heart Association perioperative assessment guidelines for noncardiac surgery reduces cardiologic resource utilization preserving a favourable clinical outcome • Guidelines implementation reduced preoperative cardiologic consultations by 21% (P < 0.001) and preoperative non-invasive diagnostic testing by 11% (P = 0.01), and increased utilization of preoperative beta-blockers by 13% (P = 0.01). Preoperative coronary angiograms (2% versus 4%) and coronary revascularizations (3% versus 2%) and all-cause death (1% versus 2%), AMI (2% versus 1%) and acute myocardial ischaemia (4% versus 2%) during follow-up were similar in both groups. J Cardiovasc Med (Hagerstown). 2007 Nov;8(11):882-8. Dr.Kai-Uwe Döbel

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  11. Chirurg Anästhesist Klinische Untersuchung Chirurgische Anamnese Anästhesiologischer Anamnesebogen Checkliste kardiovaskuläres Risiko Check Anästhesiebericht Dr.Kai-Uwe Döbel

  12. Layout Checkliste Dr.Kai-Uwe Döbel

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