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Array ( [id] => 2112 [catid] => 191 [title] => 2022 ESC Guidelines on cardiovascular assessment and management of patients undergoing non-cardiac surgery [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => https://www.anes-guide.com/show/2112.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.116 [inputtime] => 2024-12-19 09:42:41 [updatetime] => 2024-12-19 09:42:41 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://pubmed.ncbi.nlm.nih.gov/36017553/ [demo_url] => [zjpjff] => LOE [zjfj] => [tjqd] => [nianfen] => 2022 [guojia] => the European Society of Anaesthesiology and Intens [pdf] => [tjyjyw] => [lyyw] => In patients who have known CVD or CV risk factors (including age ≥65 years), or symptoms or signs suggestive of CVD it is recommended to obtain a pre-operative 12-lead ECG before intermediate- and high-risk NCS.(Evidence: Level C，Recommendation: Class Ⅰ) [laiyuan] => 已知CVD或有心血管危险因素（包括≥ 65岁），或症状或体征提示CVD的患者，中高风险NCS术前应检查12导联ECG。（证据级别：C；推荐强度：I） [znzldj] => A [_inputtime] => 1734572561 [_updatetime] => 1734572561 [_nrjc] => [_nrsh] => )
推荐意见
已知CVD或有心血管危险因素（包括≥ 65岁），或症状或体征提示CVD的患者，中高风险NCS术前应检查12导联ECG。（证据级别：C；推荐强度：I）

In patients who have known CVD or CV risk factors (including age ≥65 years), or symptoms or signs suggestive of CVD it is recommended to obtain a pre-operative 12-lead ECG before intermediate- and high-risk NCS.(Evidence: Level C，Recommendation: Class Ⅰ)

证据评价方法：LOE

指南质量等级：A

年份：2022

国家：the European Society of Anaesthesiology and Intens

来源 2022 ESC Guidelines on cardiovascular assessment and management of patients undergoing non-cardiac surgery
原文链接
阅读
Array ( [id] => 2113 [catid] => 191 [title] => 2022 ESC Guidelines on cardiovascular assessment and management of patients undergoing non-cardiac surgery [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => https://www.anes-guide.com/show/2113.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.116 [inputtime] => 2024-12-19 09:42:41 [updatetime] => 2024-12-19 09:42:41 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://pubmed.ncbi.nlm.nih.gov/36017553/ [demo_url] => [zjpjff] => LOE [zjfj] => [tjqd] => [nianfen] => 2022 [guojia] => the European Society of Anaesthesiology and Intens [pdf] => [tjyjyw] => [lyyw] => In patients who have known CVD, CV risk factors (including age ≥65 years), or symptoms suggestive of CVD it is recommended to measure hs-cTn T or hs-cTn I before intermediate- and high-risk NCS, and at 24 h and 48 h afterwards.(Evidence: Level B，Recommendation: Class I) [laiyuan] => 已知CVD或有心血管危险因素（包括 ≥ 65岁），或症状提示 CVD 的患者，应在中高风险 NCS 术前、术后 24 h 和48 h检测hs-cTnT或hs-cTnI。（证据级别：B；推荐强度：I） [znzldj] => A [_inputtime] => 1734572561 [_updatetime] => 1734572561 [_nrjc] => [_nrsh] => )
推荐意见
已知CVD或有心血管危险因素（包括 ≥ 65岁），或症状提示 CVD 的患者，应在中高风险 NCS 术前、术后 24 h 和48 h检测hs-cTnT或hs-cTnI。（证据级别：B；推荐强度：I）

In patients who have known CVD, CV risk factors (including age ≥65 years), or symptoms suggestive of CVD it is recommended to measure hs-cTn T or hs-cTn I before intermediate- and high-risk NCS, and at 24 h and 48 h afterwards.(Evidence: Level B，Recommendation: Class I)

证据评价方法：LOE

指南质量等级：A

年份：2022

国家：the European Society of Anaesthesiology and Intens

来源 2022 ESC Guidelines on cardiovascular assessment and management of patients undergoing non-cardiac surgery
原文链接
阅读
Array ( [id] => 2114 [catid] => 191 [title] => 2022 ESC Guidelines on cardiovascular assessment and management of patients undergoing non-cardiac surgery [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => https://www.anes-guide.com/show/2114.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.116 [inputtime] => 2024-12-19 09:42:41 [updatetime] => 2024-12-19 09:42:41 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://pubmed.ncbi.nlm.nih.gov/36017553/ [demo_url] => [zjpjff] => LOE [zjfj] => [tjqd] => [nianfen] => 2022 [guojia] => the European Society of Anaesthesiology and Intens [pdf] => [tjyjyw] => [lyyw] => In patients who have known CVD, CV risk factors (including age ≥65 years), or symptoms suggestive of CVD, it should be considered to measure BNP or NT-proBNP before intermediate- and high-risk NCS.(Evidence: Level B，Recommendation: Class IIa) [laiyuan] => 已知CVD或有心血管危险因素（包括 ≥ 65岁），或症状提示CVD的患者，应在中高风险NCS术前检测BNP或NT-BNP。（证据级别：B；推荐强度：IIa） [znzldj] => A [_inputtime] => 1734572561 [_updatetime] => 1734572561 [_nrjc] => [_nrsh] => )
推荐意见
已知CVD或有心血管危险因素（包括 ≥ 65岁），或症状提示CVD的患者，应在中高风险NCS术前检测BNP或NT-BNP。（证据级别：B；推荐强度：IIa）

In patients who have known CVD, CV risk factors (including age ≥65 years), or symptoms suggestive of CVD, it should be considered to measure BNP or NT-proBNP before intermediate- and high-risk NCS.(Evidence: Level B，Recommendation: Class IIa)

证据评价方法：LOE

指南质量等级：A

年份：2022

国家：the European Society of Anaesthesiology and Intens

来源 2022 ESC Guidelines on cardiovascular assessment and management of patients undergoing non-cardiac surgery
原文链接
阅读
Array ( [id] => 2115 [catid] => 191 [title] => 2022 ESC Guidelines on cardiovascular assessment and management of patients undergoing non-cardiac surgery [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => https://www.anes-guide.com/show/2115.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.116 [inputtime] => 2024-12-19 09:42:41 [updatetime] => 2024-12-19 09:42:41 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://pubmed.ncbi.nlm.nih.gov/36017553/ [demo_url] => [zjpjff] => LOE [zjfj] => [tjqd] => [nianfen] => 2022 [guojia] => the European Society of Anaesthesiology and Intens [pdf] => [tjyjyw] => [lyyw] => In low-risk patients undergoing low- and intermediate-risk NCS, it is not recommended to routinely obtain pre-operative ECG, hs-cTn T/I, or BNP/NT-proBNP concentrations.(Evidence: Level B，Recommendation: Class III) [laiyuan] => 不推荐低风险患者行低中风险 NCS 术前常规检测 ECG、hs-cTnT / I和BNP / NT-proBNP。（证据级别：B；推荐强度：III） [znzldj] => A [_inputtime] => 1734572561 [_updatetime] => 1734572561 [_nrjc] => [_nrsh] => )
推荐意见
不推荐低风险患者行低中风险 NCS 术前常规检测 ECG、hs-cTnT / I和BNP / NT-proBNP。（证据级别：B；推荐强度：III）

In low-risk patients undergoing low- and intermediate-risk NCS, it is not recommended to routinely obtain pre-operative ECG, hs-cTn T/I, or BNP/NT-proBNP concentrations.(Evidence: Level B，Recommendation: Class III)

证据评价方法：LOE

指南质量等级：A

年份：2022

国家：the European Society of Anaesthesiology and Intens

来源 2022 ESC Guidelines on cardiovascular assessment and management of patients undergoing non-cardiac surgery
原文链接
阅读
Array ( [id] => 2116 [catid] => 191 [title] => 2022 ESC Guidelines on cardiovascular assessment and management of patients undergoing non-cardiac surgery [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => https://www.anes-guide.com/show/2116.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.116 [inputtime] => 2024-12-19 09:42:41 [updatetime] => 2024-12-19 09:42:41 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://pubmed.ncbi.nlm.nih.gov/36017553/ [demo_url] => [zjpjff] => LOE [zjfj] => [tjqd] => [nianfen] => 2022 [guojia] => the European Society of Anaesthesiology and Intens [pdf] => [tjyjyw] => [lyyw] => TTE is recommended in patients with poor functional capacityc and/or high NT-proBNP/ BNP,d or if murmurs are detected before high-risk NCS, in order to undertake risk-reduction strategies.(Evidence: Level B，Recommendation: Class I) [laiyuan] => 心功能储备差和（或）NT-proBNP / BNP 高，或有心脏杂音的患者在高风险NCS 术前应检查 UCG 以便采取降低风险的策略。（证据级别：B；推荐强度：I） [znzldj] => A [_inputtime] => 1734572561 [_updatetime] => 1734572561 [_nrjc] => [_nrsh] => )
推荐意见
心功能储备差和（或）NT-proBNP / BNP 高，或有心脏杂音的患者在高风险NCS 术前应检查 UCG 以便采取降低风险的策略。（证据级别：B；推荐强度：I）

TTE is recommended in patients with poor functional capacityc and/or high NT-proBNP/ BNP,d or if murmurs are detected before high-risk NCS, in order to undertake risk-reduction strategies.(Evidence: Level B，Recommendation: Class I)

证据评价方法：LOE

指南质量等级：A

年份：2022

国家：the European Society of Anaesthesiology and Intens

来源 2022 ESC Guidelines on cardiovascular assessment and management of patients undergoing non-cardiac surgery
原文链接
阅读
Array ( [id] => 2117 [catid] => 191 [title] => 2022 ESC Guidelines on cardiovascular assessment and management of patients undergoing non-cardiac surgery [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => https://www.anes-guide.com/show/2117.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.116 [inputtime] => 2024-12-19 09:42:41 [updatetime] => 2024-12-19 09:42:41 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://pubmed.ncbi.nlm.nih.gov/36017553/ [demo_url] => [zjpjff] => LOE [zjfj] => [tjqd] => [nianfen] => 2022 [guojia] => the European Society of Anaesthesiology and Intens [pdf] => [tjyjyw] => [lyyw] => TTE should be considered in patients with suspected new CVD or unexplained signs or symptoms before high-risk NCS.(Evidence: Level B，Recommendation: Class IIa) [laiyuan] => 可疑新发 CAD 或者有难以解释的症状或体征的患者在高风险NCS术前应检查 UCG。（证据级别：B；推荐强度：IIa） [znzldj] => A [_inputtime] => 1734572561 [_updatetime] => 1734572561 [_nrjc] => [_nrsh] => )
推荐意见
可疑新发 CAD 或者有难以解释的症状或体征的患者在高风险NCS术前应检查 UCG。（证据级别：B；推荐强度：IIa）

TTE should be considered in patients with suspected new CVD or unexplained signs or symptoms before high-risk NCS.(Evidence: Level B，Recommendation: Class IIa)

证据评价方法：LOE

指南质量等级：A

年份：2022

国家：the European Society of Anaesthesiology and Intens

来源 2022 ESC Guidelines on cardiovascular assessment and management of patients undergoing non-cardiac surgery
原文链接
阅读
Array ( [id] => 2118 [catid] => 191 [title] => 2022 ESC Guidelines on cardiovascular assessment and management of patients undergoing non-cardiac surgery [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => https://www.anes-guide.com/show/2118.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.116 [inputtime] => 2024-12-19 09:42:41 [updatetime] => 2024-12-19 09:42:41 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://pubmed.ncbi.nlm.nih.gov/36017553/ [demo_url] => [zjpjff] => LOE [zjfj] => [tjqd] => [nianfen] => 2022 [guojia] => the European Society of Anaesthesiology and Intens [pdf] => [tjyjyw] => [lyyw] => TTE may be considered in patients with poor functional capacity, abnormal ECG, high NT-proBNP/BNP,d or ≥1 clinical risk factor before intermediate-risk NCS.(Evidence: Level B，Recommendation: Class IIb ) [laiyuan] => 心功能储备差、ECG异常， NT-proBNP/BNP 高或有≥1项临床危险因素的患者应在中风险 NCS 术前检查 UCG。（证据级别：B；推荐强度：IIb） [znzldj] => A [_inputtime] => 1734572561 [_updatetime] => 1734572561 [_nrjc] => [_nrsh] => )
推荐意见
心功能储备差、ECG异常， NT-proBNP/BNP 高或有≥1项临床危险因素的患者应在中风险 NCS 术前检查 UCG。（证据级别：B；推荐强度：IIb）

TTE may be considered in patients with poor functional capacity, abnormal ECG, high NT-proBNP/BNP,d or ≥1 clinical risk factor before intermediate-risk NCS.(Evidence: Level B，Recommendation: Class IIb )

证据评价方法：LOE

指南质量等级：A

年份：2022

国家：the European Society of Anaesthesiology and Intens

来源 2022 ESC Guidelines on cardiovascular assessment and management of patients undergoing non-cardiac surgery
原文链接
阅读
Array ( [id] => 2119 [catid] => 191 [title] => 2022 ESC Guidelines on cardiovascular assessment and management of patients undergoing non-cardiac surgery [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => https://www.anes-guide.com/show/2119.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.116 [inputtime] => 2024-12-19 09:42:41 [updatetime] => 2024-12-19 09:42:41 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://pubmed.ncbi.nlm.nih.gov/36017553/ [demo_url] => [zjpjff] => LOE [zjfj] => [tjqd] => [nianfen] => 2022 [guojia] => the European Society of Anaesthesiology and Intens [pdf] => [tjyjyw] => [lyyw] => To avoid delaying surgery, a FOCUS exam performed by trained specialists may be considered as an alternative to TTE for pre-operative triage.(Evidence: Level B，Recommendation: Class IIb ) [laiyuan] => 为避免手术延期，可由经培训的专科医师实施有针对性的 UCG 检查以对患者分诊。（证据级别：B；推荐强度：IIb） [znzldj] => A [_inputtime] => 1734572561 [_updatetime] => 1734572561 [_nrjc] => [_nrsh] => )
推荐意见
为避免手术延期，可由经培训的专科医师实施有针对性的 UCG 检查以对患者分诊。（证据级别：B；推荐强度：IIb）

To avoid delaying surgery, a FOCUS exam performed by trained specialists may be considered as an alternative to TTE for pre-operative triage.(Evidence: Level B，Recommendation: Class IIb )

证据评价方法：LOE

指南质量等级：A

年份：2022

国家：the European Society of Anaesthesiology and Intens

来源 2022 ESC Guidelines on cardiovascular assessment and management of patients undergoing non-cardiac surgery
原文链接
阅读
Array ( [id] => 2120 [catid] => 191 [title] => 2022 ESC Guidelines on cardiovascular assessment and management of patients undergoing non-cardiac surgery [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => https://www.anes-guide.com/show/2120.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.116 [inputtime] => 2024-12-19 09:42:41 [updatetime] => 2024-12-19 09:42:41 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://pubmed.ncbi.nlm.nih.gov/36017553/ [demo_url] => [zjpjff] => LOE [zjfj] => [tjqd] => [nianfen] => 2022 [guojia] => the European Society of Anaesthesiology and Intens [pdf] => [tjyjyw] => [lyyw] => Routine pre-operative evaluation of LV function is not recommended.(Evidence: Level C，Recommendation: Class III) [laiyuan] => 不建议在术前进行常规的左室功能评估。（证据级别：C；推荐强度：III） [znzldj] => A [_inputtime] => 1734572561 [_updatetime] => 1734572561 [_nrjc] => [_nrsh] => )
推荐意见
不建议在术前进行常规的左室功能评估。（证据级别：C；推荐强度：III）

Routine pre-operative evaluation of LV function is not recommended.(Evidence: Level C，Recommendation: Class III)

证据评价方法：LOE

指南质量等级：A

年份：2022

国家：the European Society of Anaesthesiology and Intens

来源 2022 ESC Guidelines on cardiovascular assessment and management of patients undergoing non-cardiac surgery
原文链接
阅读
Array ( [id] => 2121 [catid] => 191 [title] => 2022 ESC Guidelines on cardiovascular assessment and management of patients undergoing non-cardiac surgery [thumb] => [keywords] => [description] => [hits] => [uid] => 3 [author] => 甘肃中医院 [status] => 9 [url] => https://www.anes-guide.com/show/2121.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.116 [inputtime] => 2024-12-19 09:42:41 [updatetime] => 2024-12-19 09:42:41 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => https://pubmed.ncbi.nlm.nih.gov/36017553/ [demo_url] => [zjpjff] => LOE [zjfj] => [tjqd] => [nianfen] => 2022 [guojia] => the European Society of Anaesthesiology and Intens [pdf] => [tjyjyw] => [lyyw] => Stress imaging is recommended before high-risk elective NCS in patients with poor functional capacityc and high likelihood of CAD or high clinical risk. (Evidence: Level B，Recommendation: Class I) [laiyuan] => 心功能储备差和CAD可能性极大或者临床高风险患者，择期高风险NCS术前应进行运动显像检查。（证据级别：B；推荐强度：I） [znzldj] => A [_inputtime] => 1734572561 [_updatetime] => 1734572561 [_nrjc] => [_nrsh] => )
推荐意见
心功能储备差和CAD可能性极大或者临床高风险患者，择期高风险NCS术前应进行运动显像检查。（证据级别：B；推荐强度：I）

Stress imaging is recommended before high-risk elective NCS in patients with poor functional capacityc and high likelihood of CAD or high clinical risk. (Evidence: Level B，Recommendation: Class I)

证据评价方法：LOE

指南质量等级：A

年份：2022

国家：the European Society of Anaesthesiology and Intens

来源 2022 ESC Guidelines on cardiovascular assessment and management of patients undergoing non-cardiac surgery
原文链接
阅读

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