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Array ( [id] => 2122 [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/2122.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 should be considered before high-risk NCS in asymptomatic patients with poor functional capacity, and previous PCI or CABG. (Evidence: Level C,Recommendation: Class IIa) [laiyuan] => 心功能储备差的无症状患者、既往行经皮冠状动脉介入治疗( PCI)或 冠 状 动 脉 搭 桥术(CABG)患者,应在高风险NCS术前进行运动显像检查。(证据级别:C;推荐强度:Ⅱa) [znzldj] => A [_inputtime] => 1734572561 [_updatetime] => 1734572561 [_nrjc] => [_nrsh] => )
推荐意见
心功能储备差的无症状患者、既往行经皮冠状动脉介入治疗( PCI)或 冠 状 动 脉 搭 桥术(CABG)患者,应在高风险NCS术前进行运动显像检查。(证据级别:C;推荐强度:Ⅱa)

Stress imaging should be considered before high-risk NCS in asymptomatic patients with poor functional capacity, and previous PCI or CABG. (Evidence: Level C,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

阅读
Array ( [id] => 2123 [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/2123.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 may be considered before intermediate-risk NCS when ischaemia is of concern in patients with clinical risk factors and poor functional capacity.(Evidence: Level B,Recommendation: Class IIb) [laiyuan] => 有临床危险因素且功能储备较差,可疑心肌缺血的患者中风险NCS术前应考虑运动显像检查。(证据级别:B;推荐强度:Ⅱb) [znzldj] => A [_inputtime] => 1734572561 [_updatetime] => 1734572561 [_nrjc] => [_nrsh] => )
推荐意见
有临床危险因素且功能储备较差,可疑心肌缺血的患者中风险NCS术前应考虑运动显像检查。(证据级别:B;推荐强度:Ⅱb)

Stress imaging may be considered before intermediate-risk NCS when ischaemia is of concern in patients with clinical risk factors and poor functional capacity.(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

阅读
Array ( [id] => 2124 [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/2124.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 not recommended routinely before NCS.(Evidence: Level C,Recommendation: Class III) [laiyuan] => 不建议在非心脏手术(NCS)前常规行运动显像检查。(证据级别:C;推荐强度:III) [znzldj] => A [_inputtime] => 1734572561 [_updatetime] => 1734572561 [_nrjc] => [_nrsh] => )
推荐意见
不建议在非心脏手术(NCS)前常规行运动显像检查。(证据级别:C;推荐强度:III)

Stress imaging is not recommended routinely before NCS.(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

阅读
Array ( [id] => 2125 [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/2125.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] => It is recommended to use the same indications for ICA and revascularization pre-operatively as in the non-surgical setting. (Evidence: Level C,Recommendation: Class Ⅰ) [laiyuan] => 建议在术前使用与非手术环境相同的冠状动脉造影(ICA)和血管重建手术适应症。(证据级别:C;推荐强度:I) [znzldj] => A [_inputtime] => 1734572561 [_updatetime] => 1734572561 [_nrjc] => [_nrsh] => )
推荐意见
建议在术前使用与非手术环境相同的冠状动脉造影(ICA)和血管重建手术适应症。(证据级别:C;推荐强度:I)

It is recommended to use the same indications for ICA and revascularization pre-operatively as in the non-surgical setting. (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

阅读
Array ( [id] => 2126 [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/2126.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] => CCTA should be considered to rule out CAD in patients with suspected CCS or biomarker-negative NSTE-ACS in case of low-to-intermediate clinical likelihood of CAD, or in patients unsuitable for non-invasive functional testing undergoing non-urgent, intermediate-, and high-risk NCS.(Evidence: Level C,Recommendation: Class IIa) [laiyuan] => 推荐可疑慢性冠脉综合征或生物学指标阴性的非ST抬高的急性冠脉综合征均有低中风险临床CAD可能,以及不适合无创功能检查的患者,在非急诊、中高风险NCS术前应完成冠脉CT血管造影以排除CAD。(证据级别:C;推荐强度:Ⅱa) [znzldj] => A [_inputtime] => 1734572561 [_updatetime] => 1734572561 [_nrjc] => [_nrsh] => )
推荐意见
推荐可疑慢性冠脉综合征或生物学指标阴性的非ST抬高的急性冠脉综合征均有低中风险临床CAD可能,以及不适合无创功能检查的患者,在非急诊、中高风险NCS术前应完成冠脉CT血管造影以排除CAD。(证据级别:C;推荐强度:Ⅱa)

CCTA should be considered to rule out CAD in patients with suspected CCS or biomarker-negative NSTE-ACS in case of low-to-intermediate clinical likelihood of CAD, or in patients unsuitable for non-invasive functional testing undergoing non-urgent, intermediate-, and high-risk NCS.(Evidence: Level C,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

阅读
Array ( [id] => 2127 [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/2127.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] => Pre-operative ICA may be considered in stable CCS patients undergoing elective surgical CEA.(Evidence: Level B,Recommendation: Class IIb) [laiyuan] => 对于接受择期颈动脉内膜剥脱术(CEA)的稳定冠心病患者,可以考虑术前行冠状动脉造影(ICA)。(证据级别:B;推荐强度:Ⅱb) [znzldj] => A [_inputtime] => 1734572561 [_updatetime] => 1734572561 [_nrjc] => [_nrsh] => )
推荐意见
对于接受择期颈动脉内膜剥脱术(CEA)的稳定冠心病患者,可以考虑术前行冠状动脉造影(ICA)。(证据级别:B;推荐强度:Ⅱb)

Pre-operative ICA may be considered in stable CCS patients undergoing elective surgical CEA.(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

阅读
Array ( [id] => 2128 [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/2128.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 ICA is not recommended in stable CCS patients undergoing low- or intermediate-risk NCS.(Evidence: Level C,Recommendation: Class III) [laiyuan] => 对于接受中低风险NCS的稳定冠心病患者,不建议常规行术前冠状动脉造影(ICA)。(证据级别:C;推荐强度:III) [znzldj] => A [_inputtime] => 1734572561 [_updatetime] => 1734572561 [_nrjc] => [_nrsh] => )
推荐意见
对于接受中低风险NCS的稳定冠心病患者,不建议常规行术前冠状动脉造影(ICA)。(证据级别:C;推荐强度:III)

Routine pre-operative ICA is not recommended in stable CCS patients undergoing low- or intermediate-risk NCS.(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

阅读
Array ( [id] => 2129 [catid] => 311 [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/2129.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] => Smoking cessation .4weeks before NCS is recommended to reduce post-operative complications and mortality. (Evidence: Level B,Recommendation: Class I) [laiyuan] => NCS术前应戒烟至少4周,以降低术后并发症和死亡率。(证据级别:B;推荐强度:I) [znzldj] => A [_inputtime] => 1734572561 [_updatetime] => 1734572561 [_nrjc] => [_nrsh] => )
推荐意见
NCS术前应戒烟至少4周,以降低术后并发症和死亡率。(证据级别:B;推荐强度:I)

Smoking cessation .4weeks before NCS is recommended to reduce post-operative complications and mortality. (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

阅读
Array ( [id] => 2130 [catid] => 311 [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/2130.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] => Control of CV risk factors—including blood pressure, dyslipidaemia, and diabetes—is recommended before NCS. (Evidence: Level B,Recommendation: Class I) [laiyuan] => NCS术前应控制心血管危险因素,包括血压、血脂异常和DM。(证据级别:B;推荐强度:I) [znzldj] => A [_inputtime] => 1734572561 [_updatetime] => 1734572561 [_nrjc] => [_nrsh] => )
推荐意见
NCS术前应控制心血管危险因素,包括血压、血脂异常和DM。(证据级别:B;推荐强度:I)

Control of CV risk factors—including blood pressure, dyslipidaemia, and diabetes—is recommended before NCS. (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

阅读
Array ( [id] => 2131 [catid] => 311 [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/2131.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 with an indication for statins, it should be considered to initiate statins peri-operatively.(Evidence: Level C,Recommendation: Class IIa) [laiyuan] => 有适应症的患者,围术期应考虑开始他汀类药物治疗。(证据等级:C;推荐强度:IIa) [znzldj] => A [_inputtime] => 1734572561 [_updatetime] => 1734572561 [_nrjc] => [_nrsh] => )
推荐意见
有适应症的患者,围术期应考虑开始他汀类药物治疗。(证据等级:C;推荐强度:IIa)

In patients with an indication for statins, it should be considered to initiate statins peri-operatively.(Evidence: Level C,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

阅读