Minimising cardiac anaesthetic risk : the tortoise or the hare ?

摘要: There is no doubt that a group of patients at increased risk peri-operative cardiac morbidity exists and must be managed with the emphasis on prevention myocardial ischaemia. It also clear potentially far larger are failing to meet cardiovascular metabolic demands surgery therefore suffering consequences relative hypoperfusion injury. Pre-operative assessment address both groups management regimens sought provide optimal outcome for both. At present there consistent strategy their identification, or high surgical population despite fact they probably consume disproportionate share hospital resources. The first most important step recognition this exists. Only then can given similar consideration those currently thought