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Perioperative Cardiovascular Evaluation

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Disclaimer is Guideline attempts to define principles of practice that should produce high-quality patient care. It is applicable to specialists, primary care practitioners, and providers at all levels. is Guideline should not be considered exclusive of other methods of care reasonably directed at obtaining the same results. e ultimate judgment concerning the propriety of any course of conduct must be made by the clinician aer consideration of each individual patient situation. Neither IGC, the medical associations, nor the authors endorse any product or service associated with the distributor of this clinical reference tool. Abbreviations ACE, angiotensin-converting enzyme; ACS, acute coronary syndrome; AR, aortic regurgitation; ARB, angiotensin-receptor blocker; ASA, aspirin; ASAP, as soon as possible; BMI, body mass index; BMS, bare-metal stent; CAD, coronary artery disease; CIED, cardiovascular implantable electronic device; COPD, chronic obstructive pulmonary disease; COR, Class of Recommendation; CPG, clinical practice guideline; CPT, current procedural terminolog y; DAPT, dual antiplatelet therapy; DES, drug- eluting stent; DSE, dobutamine stress echocardiogram; ECG, electrocardiogram; ENT, ear, nose, and throat; ERC, Evidence Review Committee; GDMT, guideline-directed medical therapy; HF, heart failure; ICD, implantable cardioverter-defibrillator; LOE, Level of Evidence; LV, le ventricular; LVEF, le ventricular ejection fraction; MACE, major adverse cardiac event; MET, metabolic equivalent; MI, myocardial infarction; MICA, Myocardial Infarction and Cardiac Arrest; MPI, myocardial perfusion imaging ; MR, mitral regurgitation; NB, No Benefit; NSQIP, National Surgical Quality Improvement Program; PCI, percutaneous coronary intervention; RCRI, Revised Cardiac Risk Index; RV, right ventricular; SR, systematic review; TEE, transesophageal echocardiogram; TIA, transient ischemic attack Source Fleisher LA, Fleischmann KE, Auerbach AD, et al. 2014 ACC/AHA guideline on perioperative cardiovascular evaluation and management of patients undergoing noncardiac surgery: a report of the American College of Cardiolog y/American Heart Association Task Force on Practice Guidelines. J Am Coll Cardiol. 2014 Jul 29. doi: 10.1016/j.jacc.2014.07.944. [Epub ahead of print] Copublished in Circulation. 2014 Aug 1. pii: CIR.0000000000000105. [Epub ahead of print] 106 Commerce Street, Suite 105 Lake Mary, FL 32746 TEL: 407.878.7606 • FAX: 407.878.7611 For additional copies: info@GuidelineCentral.com Copyright © 2014 All rights reserved ACCPERI14103a

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