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cover of episode Episode 310: Cardiac Workup Guidelines with Drs. Thompson, Steppan and Suffredini

Episode 310: Cardiac Workup Guidelines with Drs. Thompson, Steppan and Suffredini

2025/6/15
logo of podcast Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

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A
Anne-Marie Thompson
G
Giancarlo Suffredini
J
Jochen Steppan
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Anne-Marie Thompson: 2014年的算法主要关注谁需要接受检查以寻找隐匿性缺血性心脏病。而2024年算法的一个重大改变是,它认为缺血性心脏病虽然重要,但不是我们应该关注的唯一的心血管疾病,甚至可能不是主要的。新算法考虑了当前风险计算器可能没有完全体现的其他心血管疾病。例如,心力衰竭和房颤可能比隐匿性冠状动脉疾病更能驱动不良的围术期结果。因此,新指南强调,即使是低风险手术,如果患者有晚期心脏病,也可能不像我们通常认为的那么低风险。此外,新指南还强调了房颤的风险,并建议对术后新发房颤进行适当的随访。总之,2024年的指南更加全面地考虑了心血管风险,并强调了个体化评估和管理的重要性。

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In this 310th episode I welcome Dr. Annemarie Thompson, head of the working group that put out the new AHA/ACC Guidelines for the perioperative cardiovascular management for noncardiac surgery, and Drs. Jochen Steppan and Giancarlo Suffredini, cardiac anesthesiologists, to talk about the new iteration of the guidelines. We go through the algorithm in detail and talk about the evidence behind it and how to use biomarkers.  Our Sponsors:* Check out Eko: https://ekohealth.com/ACCRAC* Check out FIGS and use my code FIGSRX for a great deal: https://wearfigs.com* Check out Factor: https://factormeals.com/accrac50off* Check out Truelearn and use my code ACCRAC for a great deal: https://truelearn.comAdvertising Inquiries: https://redcircle.com/brands)Privacy & Opt-Out: https://redcircle.com/privacy)