A New Index for Pre-Operative Cardiovascular Evaluation

Dakik, Habib A.; Chehab, Omar; Eldirani, Mahmoud; Sbeity, Eman; Karam, Cynthia; Hassan, Ossama Abou; Msheik, Mayyas; Hassan, Hussein; Msheik, Ahmad; Kaspar, Chris; Makki, Maha; Tamim, Hani

doi:10.1016/j.jacc.2019.04.023

Cited by 70 publications

(38 citation statements)

References 19 publications

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“…489 12.1 PREOPERATIVE EVALUATION Patient and surgical specific factors dictate the strategy. 489,548,549 The cardiologist provides recommendations on pre-and perioperative management, surveillance, and continuation of chronic cardiovascular medical treatment. Echocardiography should be performed in any patient with VHD requiring NCS.…”

Section: Subclinical Leaflet Thrombosismentioning

confidence: 99%

2021 ESC/EACTS Guidelines for the management of valvular heart disease

Vahanian¹,

Beyersdorf²,

Praz³

et al. 2022

EuroIntervention

570

581

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The ESC Guidelines represent the views of the ESC and were produced after careful consideration of the scientific and medical knowledge and the evidence available at the time of their dating. The ESC is not responsible in the event of any contradiction, discrepancy and/or ambiguity between the ESC Guidelines and any other official recommendations or guidelines issued by the relevant public health authorities, in particular in relation to good use of health care or therapeutic strategies. Health professionals are encouraged to take the ESC Guidelines fully into account when exercising their clinical judgment as well as in the determination and the implementation of preventive, diagnostic or therapeutic medical strategies. However, the ESC Guidelines do not override in any way whatsoever the individual responsibility of health professionals to make appropriate and accurate decisions in consideration of each patient's health condition and in consultation with that patient and the patient's caregiver where appropriate and/or necessary. Nor do the ESC Guidelines exempt health professionals from taking careful and full consideration of the relevant official updated recommendations or guidelines issued by the competent public health authorities in order to manage each patient's case in light of the scientifically accepted data pursuant to their respective ethical and professional obligations. It is also the health professional's responsibility to verify the applicable rules and regulations relating to drugs and medical devices at the time of prescription.

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Section: Subclinical Leaflet Thrombosismentioning

confidence: 99%

2021 ESC/EACTS Guidelines for the management of valvular heart disease

Vahanian¹,

Beyersdorf²,

Praz³

et al. 2022

EuroIntervention

570

581

View full text Add to dashboard Cite

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“…An ECG was notable for the presence of diffuse delta waves ( Figure 2 ). The patient’s estimated perioperative cardiac risk using the New Index for Preoperative Cardiovascular Evaluation was low for likelihood of death, myocardial infarction, or stroke at 30 days [ 6 ].…”

Section: Case Reportmentioning

confidence: 99%

When Zebras Collide: A Case of Synchronous Wolff-Parkinson-White Syndrome and Pheochromocytoma

2021

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Patient: Male, 36-year-old Final Diagnosis: Pheochromocytoma Symptoms: Chest discomfort • headache • shortness of breath • symptomatic tachyarrhythmia Medication: — Clinical Procedure: — Specialty: General and Internal Medicine Objective: Rare coexistence of disease or pathology Background: Pheochromocytoma is a rare catecholamine-secreting tumor arising from chromaffin cells of the adrenal medulla. Wolff-Parkinson-White (WPW) pattern is a rare congenital cardiac conduction disorder in which 1 or more accessory pathways connects the atria and ventricles, bypassing the atrioventricular (AV) node. Patients with this type of accessory pathway who also experience pre-excitation evoked arrhythmias have what is termed WPW syndrome. Here, we present a patient with a WPW pattern who underwent surgical resection of a pheochromocytoma, review considerations relating to the perioperative management, and briefly summarize the hormonal effects of pheochromocytoma in a patient with a WPW accessory pathway. Case Report: A man in his early 30’s with a history of hypertension developed shortness of breath with palpitations, was noted to have delta waves on electrocardiogram (ECG), and was given a diagnosis of WPW syndrome. Six years later, he developed headache, chest pain, and flank discomfort in addition to his daily palpitations and shortness of breath. Plasma catecholamine levels were measured and found to be elevated, and imaging studies noted the presence of a large right-sided adrenal mass, consistent with a pheochromocytoma. A decision was made to proceed with a laparoscopic right adrenalectomy, which was successful and uneventful. Through the 30-day postoperative period, he reported no further episodes of symptomatic palpitations for the first time in several years. Conclusions: To the best of our knowledge, this is only the fourth case in the literature describing pheochromocytoma with co-existing WPW syndrome. In our case, resection of the pheochromocytoma ameliorated the patient’s chronic WPW-related tachyarrhythmia.

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“…J Vasc Surg 12. Dakik HA, Chehab O, Eldirani M, et al (2019). Un nuevo índice para la evaluación cardiovascular preoperatoria.…”

Section: Referencias Bibliográficasunclassified

Actualización sobre todos los avances en el campo de la cirugía

Macías

Intriago

2019

Vida y Salud

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Recibido: 12 de mayo de 2019Aprobado: 02 de junio de 2019Los nuevos centros de innovación quirúrgica están trabajando para definir el campo e identificar aspectos críticos de la promoción de la innovación quirúrgica. La responsabilidad como profesionales de la medicina es trabajar para comprender la innovación en cirugía, descubrir, traducir y comercializar avances para abordar problemas clínicos importantes y para apoyar el futuro de nuestra profesión de manera consistente y racional. El presente artículo de revisión contiene la síntesis de recientes avances en diferentes especialidades del campo de la cirugía que van desde la cirugía abdominal de pared y hernia, bariátrica, colorectal, debusto, gastrointestinal superior, endocrina, hepatobiliar y pancreática, de piel y tejido suave, de trauma y quemaduras, vascular y endovascular, el cuidado perioperativo, trasplantes así como otras especialidades quirúrgicas.

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A New Index for Pre-Operative Cardiovascular Evaluation

Cited by 70 publications

References 19 publications

2021 ESC/EACTS Guidelines for the management of valvular heart disease

2021 ESC/EACTS Guidelines for the management of valvular heart disease

When Zebras Collide: A Case of Synchronous Wolff-Parkinson-White Syndrome and Pheochromocytoma

Actualización sobre todos los avances en el campo de la cirugía

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