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Chapter 1.2 - Cardiovascular

from Section 1 - Medicine

Published online by Cambridge University Press:  26 May 2025

Edited by
Rebecca Leslie ,
Emily Johnson ,
Gary Thomas  and
Philip Harrington
Rebecca Leslie
Affiliation:
Royal United Hospitals NHS Foundation Trust, Bath
Emily Johnson
Affiliation:
Worcester Acute Hospitals NHS Trust, Worcester
Gary Thomas
Affiliation:
Cwm Taf Morgannwg University Health Board, Bridgend
Philip Harrington
Affiliation:
West Midlands Deanery, Birmingham
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Summary

You are in the pre-assessment clinic seeing a 66-year-old man for a right total hip replacement. The pre-assessment nurse identified a systolic murmur, and the patient suffers from angina and is notably breathless on minimal exertion.

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Chapter
Information
Dr Podcast Scripts for the Final FRCA , pp. 7 - 45
Publisher: Cambridge University Press
Print publication year: 2025

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References

Further Reading

Bouch, C, Thompson, JP. Severity scoring systems in the critically ill. Continuing Education in Anaesthesia, Critical Care and Pain. 2008; 8(5): 181–185.CrossRefGoogle Scholar
Brown, J, Morgan Hughes, NJ. Aortic stenosis and non-cardiac surgery. Supplement Continuing Education in Anaesthesia, Critical Care and Pain. 2005; 5: 1–4.CrossRefGoogle Scholar
Minto, G, Biccard, B. Assessment of the high-risk perioperative patient. Supplement Continuing Education in Anaesthesia, Critical Care and Pain. 2014; 14(1): 12–17.CrossRefGoogle Scholar
Smilowitz, NR, Berger, JS. Perioperative Cardiovascular Risk Assessment and Management for Noncardiac Surgery: A Review. Journal of the American Medical Association. 2020; 324(3): 279–290.CrossRefGoogle ScholarPubMed
Stones, J, Yates, D. Clinical risk assessment tools in anaesthesia. British Journal of Anaesthesia Education. 2019; 19(2): 47–53.Google ScholarPubMed

Further Reading

Arrhythmias and Pathology. Webpage found at: http://criticalcarenorthampton.com/arrhythmias-and-pathology (accessed 22 June 2023).Google Scholar
Houghton, AR. Making Sense of the ECG fifth edition. CRC Press; Taylor & Francis Group, 2019.CrossRefGoogle Scholar
Kirkman, E. Myocardial action potential. Anaesthesia and Intensive Care Medicine. 2006; 7(8): 259–263.CrossRefGoogle Scholar
Singh, R, Murphy, JJ. Electrocardiogram and arrhythmias. Anaesthesia and Intensive Care Medicine. 2009; 10(8): 381–384.CrossRefGoogle Scholar
Soar, J et al. European resuscitation council guidelines 2021. Resuscitation. 2021; 161: 115–151.CrossRefGoogle ScholarPubMed

Further Reading

Hartle, A, McCormack, T, Carlisle, J, et al. The measurement of adult blood pressure and management of hypertension before elective surgery: Joint Guidelines from the Association of Anaesthetists of Great Britain and Ireland and the British Hypertension Society. Anaesthesia. 2016; 71(3): 326–337.CrossRefGoogle ScholarPubMed
Lee, TH, Marcantonio, ER, Mangione, CM, et al. Derivation and prospective validation of a simple index for prediction of cardiac risk of major noncardiac surgery. Circulation. 1999; 100: 1043–1049.CrossRefGoogle ScholarPubMed
National Institute for Health and Clinical Excellence. Hypertension in adults: diagnosis and management. www.nice.org.uk/guidance/ng136Google Scholar
Tait, A, Howell, SJ. Preoperative hypertension: Perioperative implications and management. British Journal of Anaesthesia Education. 2021; 21(11): 426–432.Google ScholarPubMed

Further Reading

Fleisher, LA, Fleischmann, KE, Auerbach, AD, Barnason, SA, Beckman, JA, Bozkurt, B, et al. 2014 ACC/AHA guideline on perioperative cardiovascular evaluation and management of patients undergoing noncardiac surgery: Executive summary: A report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines. Circulation. 2014; 130 (24): 2215–2245CrossRefGoogle Scholar
Guay, J, Choi, P, Suresh, S, Albert, N, Kopp, S, Pace, NL. Neuraxial blockade for the prevention of postoperative mortality and major morbidity: An overview of Cochrane systematic reviews. Cochrane Database of Systematic Reviews. 2014; 2014(1):Cd0101082014.Google ScholarPubMed
Harkness, A, Ring, L, Augustine, DX, Oxborough, D, Robinson, S, Sharma, V, and the Education Committee of the British Society of Echocardiography. Normal reference intervals for cardiac dimensions and function for use in echocardiographic practice: A guideline from the British Society of Echocardiography. Echo Research and Practice. 2020; 7(1): G1–G18.CrossRefGoogle Scholar
Kristensen, SD, Knuuti, J, Saraste, A, Anker, S, Bøtker, HE, Hert, SD, et al. 2014 ESC/ESA Guidelines on non-cardiac surgery: Cardiovascular assessment and management: The Joint Task Force on non-cardiac surgery: Cardiovascular assessment and management of the European Society of Cardiology (ESC) and the European Society of Anaesthesiology (ESA). European Heart Journal. 2014; 35(35): 2383–2431.Google Scholar

Further Reading

Al-Attar, N. Postoperative myocardial infarction. An article from the e-journal of the ESC council for Cardiology Practice. 2011; 10(4). Accessed online at Postoperative myocardial infarction (escardio.org).Google Scholar
The Joint Task Force on Non-cardiac Surgery: Cardiovascular Assessment and Management of the European Society of Cardiology (ESC) and the European Society of Anaesthesiology (ESA). 2014 ESC/ECA Guidelines on non-cardiac surgery: Cardiovascular assessment and management. European Heart Journal. 2014; 35: 2383–2431.Google Scholar
Landesberg, G, Hillel, Z (2015). Chapter 47: Electrocardiography, Perioperative Ischaemia and Myocardial Infarction. Miller’s Anaesthesia. 8th Edition. Elsevier Saunders, Philadelphia USA.Google Scholar
Smilowitz, NR, Gupta, N, Guo, Y, Berger, S, Bangalore, S. Perioperative acute myocardial infarction associated with non-cardiac surgery. European Heart Journal. 2017; 38: 2409–2417.CrossRefGoogle ScholarPubMed
Thygesen, K. What’s new in the fourth universal definition of myocardial infarction? European Heart Journal. 2018; 39: 3757–3765.CrossRefGoogle ScholarPubMed
Writing Committee for the VISION Study Investigators. Association of Postoperative High-Sensitivity Troponin Levels with Myocardial Injury and 30-Day Mortality among patients undergoing Noncardiac Surgery. Journal of the American Medical Association. 2017; 317(16): 1642–1651.CrossRefGoogle Scholar

Further Reading

Brown, J, Morgan Hughes, NJ. Aortic stenosis and non-cardiac surgery. Continuing Education in Anaesthesia Critical Care and Pain. 2005; 5(1): 1–4.CrossRefGoogle Scholar
Guideline by the association of anaesthetists. Guideline for the management of hip fractures 2020. Anaesthesia. 2021; 76: 225–237.CrossRefGoogle Scholar
Holmes, K, Gibbison, B, Vohra, HA. Mitral valve and mitral valve disease. British Journal of Anaesthesia Education. 2017; 17 (1): 1–9.Google Scholar
Ring, L et al. Echocardiographic assessment of aortic stenosis: A practical guideline from the British Society of Echocardiography. Echo Research and Practice. 2021; 8(1): G19–G59.CrossRefGoogle ScholarPubMed
Robinson, S et al. The assessment of mitral valve disease: A guideline from the British Society of Echocardiography. Echo Research and Practice. 2021; 8 (1): G87–G136.CrossRefGoogle ScholarPubMed

Further Reading

Elliott, P, Andersson, B, Arbustini, E et al. Classification of cardiomyopathies: A position statement from the European society of cardiology working group on myocardial and pericardial diseases. European Heart Journal. 2008; 29: 270–276.CrossRefGoogle Scholar
Honigberg, MC, Givertz, MM. Peripartum cardiomyopathy. British Medical Journal. 2019; 364: k5287.CrossRefGoogle ScholarPubMed
Ibrahim, RI, Sharma, V. Cardiomyopathy and anaesthesia. British Journal of Anaesthesia Education. 2017; 17(11): 363–369.Google Scholar

Further Reading

British Heart Rhythm Society. Guideline for the peri-operative management of people with cardiac implantable electronic devices. Anaesthesia 2022, 77: 808–817.CrossRefGoogle Scholar
Bryant, HC, Roberts, PR, Diprose, P. Perioperative management of patients with cardiac implantable electronic devices. British Journal of Anaesthesia Education. 2016; 11: 388–396.Google Scholar

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  • Cardiovascular
  • Edited by Rebecca Leslie, Royal United Hospitals NHS Foundation Trust, Bath, Emily Johnson, Worcester Acute Hospitals NHS Trust, Worcester, Gary Thomas, Cwm Taf Morgannwg University Health Board, Bridgend, Philip Harrington, West Midlands Deanery, Birmingham
  • Book: Dr Podcast Scripts for the Final FRCA
  • Online publication: 26 May 2025
  • Chapter DOI: https://doi.org/10.1017/9781009267441.003
Available formats
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Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

  • Cardiovascular
  • Edited by Rebecca Leslie, Royal United Hospitals NHS Foundation Trust, Bath, Emily Johnson, Worcester Acute Hospitals NHS Trust, Worcester, Gary Thomas, Cwm Taf Morgannwg University Health Board, Bridgend, Philip Harrington, West Midlands Deanery, Birmingham
  • Book: Dr Podcast Scripts for the Final FRCA
  • Online publication: 26 May 2025
  • Chapter DOI: https://doi.org/10.1017/9781009267441.003
Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

  • Cardiovascular
  • Edited by Rebecca Leslie, Royal United Hospitals NHS Foundation Trust, Bath, Emily Johnson, Worcester Acute Hospitals NHS Trust, Worcester, Gary Thomas, Cwm Taf Morgannwg University Health Board, Bridgend, Philip Harrington, West Midlands Deanery, Birmingham
  • Book: Dr Podcast Scripts for the Final FRCA
  • Online publication: 26 May 2025
  • Chapter DOI: https://doi.org/10.1017/9781009267441.003
Available formats
×