2014jcs指南非心脏手术围术期心血管评估和管理.pdf

246 KYO S et al. I. Outline 1. Introduction present guidelines may lude many biases. As the population ages, more elderly patients are undergo- ing surgery. An reasing number of patients with heart 2. Outline of Diagnosis and Evaluation disease are undergoing non diac surgery, and guidelines for perioperative diovascular evaluation and manage- In order to determine treatment strategies of non diac ment for patients undergoing non diac surgery have surgery and obtain information necessary to ensure safe become necessary. The Committee on Preparation for the surgery, history taking and physical examination should be “Guidelines for Perioperative diovascular Evaluation performed to identify patients in whom the risk for dio- and Management for Non diac Surgery” was established vascular complications is high, and diagnosis and evaluation in 2001 at the request of the Scientific Committee of the should then be performed. Physicians should at this point Japanese Circulation Society. also consider the long-term risk of diovascular disease While the ACC/AHA Guidelines on Perioperative - as well. In general, the risk for diac complications is diovascular Evaluation for Non diac Surgery published high among patients with a marked decrease in exercise in 2007 highlighted the perioperative management of