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Can We Prevent Heart Trouble During Surgery?
Published: Apr 06, 2024
Heart problems during surgery are serious, but there are ways to lower the risk. Let's explore how to manage heart risks when going under the knife for non-heart-related surgeries.
Understanding the Risk
Before any major surgery, it's crucial to assess a patient's heart risk. This involves checking for existing heart conditions like coronary artery disease or heart failure. Knowing these risks helps doctors make informed decisions about surgery timing and necessary precautions. This evaluation often calls for expert cardiologist input, especially for emergency procedures.
The Role of Beta Blockers
Beta blockers are medications that can help manage heart conditions by slowing the heart rate. However, their use before surgery is debated. While they reduce heart attack risks, they can increase the chances of stroke and death if started too close to surgery. Doctors often continue them if the patient is already on beta blockers but avoid starting them right before surgery.
To Delay or Not to Delay Surgery?
For patients with recent heart attacks, delaying non-heart-related surgeries is often recommended. This delay allows for recovery and reduces the risk of further heart complications. However, if the surgery is urgent, doctors weigh the risks of postponing against the benefits of immediate intervention.
Frequently Asked Questions
Heart attacks and heart failure are the main concerns.
Starting them just before surgery is generally not recommended.
To allow recent heart issues to stabilize and reduce risks.
Key Takeaways
Managing heart risks before surgery is crucial for patient safety.
References
- Fleisher LA, Fleischmann KE, Auerbach AD, et al. 2014 ACC/AHA guideline on perioperative cardiovascular evaluation and management of patients undergoing noncardiac surgery.
- Palda VA, Detsky AS. Perioperative assessment and management of risk from coronary artery disease. Ann Intern Med 1997; 127:313.
This article has been reviewed for accuracy by one of the licensed medical doctors working for Doctronic. Always discuss health information with your healthcare provider.
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