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发表时间 阅读量
Array ( [id] => 553 [catid] => 191 [title] => 2022 ESC Guidelines on cardiovascular assessment and management of patients undergoing non-cardiac surgery [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/553.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:13:02 [updatetime] => 2024-01-11 15:13:02 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => LOE [zjfj] => [tjqd] => [nianfen] => 2022 [guojia] => European Society of Cardiology [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] => 对于接受低中危风险NCS的患者，不建议常规获取术前心电图、hs-cTn T/I或BNP/NT-proBNP浓度。（证据级别：Level B ；推荐强度：Class III） [znzldj] => A [_inputtime] => 1704957182 [_updatetime] => 1704957182 [_nrjc] => [_nrsh] => )
推荐意见
对于接受低中危风险NCS的患者，不建议常规获取术前心电图、hs-cTn T/I或BNP/NT-proBNP浓度。（证据级别：Level B ；推荐强度：Class 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：European Society of Cardiology

来源 2022 ESC Guidelines on cardiovascular assessment and management of patients undergoing non-cardiac surgery
阅读
Array ( [id] => 554 [catid] => 191 [title] => 2022 ESC Guidelines on cardiovascular assessment and management of patients undergoing non-cardiac surgery [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/554.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:13:02 [updatetime] => 2024-01-11 15:13:02 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => LOE [zjfj] => [tjqd] => [nianfen] => 2022 [guojia] => European Society of Cardiology [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] => 对于功能能力差和/或NT-proBNP/BNP高或在高危NCS术前检测到杂音的患者，推荐使用经胸超声心电图，以便采取降低风险的策略。（证据级别：Level B ；推荐强度：Class I）。 [znzldj] => A [_inputtime] => 1704957182 [_updatetime] => 1704957182 [_nrjc] => [_nrsh] => )
推荐意见
对于功能能力差和/或NT-proBNP/BNP高或在高危NCS术前检测到杂音的患者，推荐使用经胸超声心电图，以便采取降低风险的策略。（证据级别：Level B ；推荐强度：Class 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：European Society of Cardiology

来源 2022 ESC Guidelines on cardiovascular assessment and management of patients undergoing non-cardiac surgery
阅读
Array ( [id] => 555 [catid] => 191 [title] => 2022 ESC Guidelines on cardiovascular assessment and management of patients undergoing non-cardiac surgery [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/555.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:13:02 [updatetime] => 2024-01-11 15:13:02 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => LOE [zjfj] => [tjqd] => [nianfen] => 2022 [guojia] => European Society of Cardiology [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] => 疑似新发的心血管疾病或在高危NCS之前有不明原因的体征或症状的患者，应考虑经胸超声心电图。（证据级别：Level B ；推荐强度：Class IIa） [znzldj] => A [_inputtime] => 1704957182 [_updatetime] => 1704957182 [_nrjc] => [_nrsh] => )
推荐意见
疑似新发的心血管疾病或在高危NCS之前有不明原因的体征或症状的患者，应考虑经胸超声心电图。（证据级别：Level B ；推荐强度：Class 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：European Society of Cardiology

来源 2022 ESC Guidelines on cardiovascular assessment and management of patients undergoing non-cardiac surgery
阅读
Array ( [id] => 556 [catid] => 191 [title] => 2022 ESC Guidelines on cardiovascular assessment and management of patients undergoing non-cardiac surgery [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/556.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:13:02 [updatetime] => 2024-01-11 15:13:02 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => LOE [zjfj] => [tjqd] => [nianfen] => 2022 [guojia] => European Society of Cardiology [pdf] => [tjyjyw] => [lyyw] => TTE may be considered in patients with poor functional capacity, abnormal ECG, high NT-proBNP/BNP, or ≥1 clinical risk factor before intermediate-risk NCS.(Evidence: Level B ，Recommendation:Class IIb) [laiyuan] => TTE可考虑在中危NCS术前有功能低下、心电图异常、NT-ProBNP/BNP高或≥1个临床危险因素的患者。（证据级别：Level B ；推荐强度：Class IIb） [znzldj] => A [_inputtime] => 1704957182 [_updatetime] => 1704957182 [_nrjc] => [_nrsh] => )
推荐意见
TTE可考虑在中危NCS术前有功能低下、心电图异常、NT-ProBNP/BNP高或≥1个临床危险因素的患者。（证据级别：Level B ；推荐强度：Class IIb）

TTE may be considered in patients with poor functional capacity, abnormal ECG, high NT-proBNP/BNP, 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：European Society of Cardiology

来源 2022 ESC Guidelines on cardiovascular assessment and management of patients undergoing non-cardiac surgery
阅读
Array ( [id] => 557 [catid] => 191 [title] => 2022 ESC Guidelines on cardiovascular assessment and management of patients undergoing non-cardiac surgery [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/557.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:13:02 [updatetime] => 2024-01-11 15:13:02 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => LOE [zjfj] => [tjqd] => [nianfen] => 2022 [guojia] => European Society of Cardiology [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] => 为了避免延误手术，由训练有素的专家进行聚焦心脏超声检查可被视为TTE的术前分诊的替代方法。（证据级别：Level B ；推荐强度：Class IIb） [znzldj] => A [_inputtime] => 1704957182 [_updatetime] => 1704957182 [_nrjc] => [_nrsh] => )
推荐意见
为了避免延误手术，由训练有素的专家进行聚焦心脏超声检查可被视为TTE的术前分诊的替代方法。（证据级别：Level B ；推荐强度：Class 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：European Society of Cardiology

来源 2022 ESC Guidelines on cardiovascular assessment and management of patients undergoing non-cardiac surgery
阅读
Array ( [id] => 558 [catid] => 191 [title] => 2022 ESC Guidelines on cardiovascular assessment and management of patients undergoing non-cardiac surgery [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/558.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:13:02 [updatetime] => 2024-01-11 15:13:02 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => LOE [zjfj] => [tjqd] => [nianfen] => 2022 [guojia] => European Society of Cardiology [pdf] => [tjyjyw] => [lyyw] => Routine pre-operative evaluation of LV function is not recommended.(Evidence: Level C，Recommendation: Class Ⅲ) [laiyuan] => 不推荐对左心室功能进行常规术前评估。（证据级别：Level C ；推荐强度：Class Ⅲ） [znzldj] => A [_inputtime] => 1704957182 [_updatetime] => 1704957182 [_nrjc] => [_nrsh] => )
推荐意见
不推荐对左心室功能进行常规术前评估。（证据级别：Level C ；推荐强度：Class 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：European Society of Cardiology

来源 2022 ESC Guidelines on cardiovascular assessment and management of patients undergoing non-cardiac surgery
阅读
Array ( [id] => 559 [catid] => 191 [title] => 2022 ESC Guidelines on cardiovascular assessment and management of patients undergoing non-cardiac surgery [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/559.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:13:02 [updatetime] => 2024-01-11 15:13:02 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => LOE [zjfj] => [tjqd] => [nianfen] => 2022 [guojia] => European Society of Cardiology [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] => 对于功能能力差、冠心病可能性高或临床风险高的患者，推荐在进行高风险择期NCS之前行负荷影像检查。（证据级别：Level B ；推荐强度：Class Ⅰ） [znzldj] => A [_inputtime] => 1704957182 [_updatetime] => 1704957182 [_nrjc] => [_nrsh] => )
推荐意见
对于功能能力差、冠心病可能性高或临床风险高的患者，推荐在进行高风险择期NCS之前行负荷影像检查。（证据级别：Level B ；推荐强度：Class 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：European Society of Cardiology

来源 2022 ESC Guidelines on cardiovascular assessment and management of patients undergoing non-cardiac surgery
阅读
Array ( [id] => 560 [catid] => 191 [title] => 2022 ESC Guidelines on cardiovascular assessment and management of patients undergoing non-cardiac surgery [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/560.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:13:02 [updatetime] => 2024-01-11 15:13:02 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => LOE [zjfj] => [tjqd] => [nianfen] => 2022 [guojia] => European Society of Cardiology [pdf] => [tjyjyw] => [lyyw] => Stress imaging should be considered before high-risk NCS in asymptomatic patients with poor functional capacity,d and previous PCI or CABG. （Evidence: Level C，Recommendation:Class II a） [laiyuan] => 对于功能能力差、既往有经皮冠状动脉介入治疗或冠状动脉旁路移植术的无症状患者，在进行高危非心脏手术前应考虑负荷影像检测。（证据级别：Level C ；推荐强度：Class IIa） [znzldj] => A [_inputtime] => 1704957182 [_updatetime] => 1704957182 [_nrjc] => [_nrsh] => )
推荐意见
对于功能能力差、既往有经皮冠状动脉介入治疗或冠状动脉旁路移植术的无症状患者，在进行高危非心脏手术前应考虑负荷影像检测。（证据级别：Level C ；推荐强度：Class IIa）

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

证据评价方法：LOE

指南质量等级：A

年份：2022

国家：European Society of Cardiology

来源 2022 ESC Guidelines on cardiovascular assessment and management of patients undergoing non-cardiac surgery
阅读
Array ( [id] => 561 [catid] => 191 [title] => 2022 ESC Guidelines on cardiovascular assessment and management of patients undergoing non-cardiac surgery [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/561.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:13:02 [updatetime] => 2024-01-11 15:13:02 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => LOE [zjfj] => [tjqd] => [nianfen] => 2022 [guojia] => European Society of Cardiology [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 II b） [laiyuan] => 当有临床危险因素且功能能力较差的患者考虑缺血发作时，可考虑在中风险NCS之前考虑负荷影像 检测。（证据级别：Level B ；推荐强度：Class IIb） [znzldj] => A [_inputtime] => 1704957182 [_updatetime] => 1704957182 [_nrjc] => [_nrsh] => )
推荐意见
当有临床危险因素且功能能力较差的患者考虑缺血发作时，可考虑在中风险NCS之前考虑负荷影像 检测。（证据级别：Level B ；推荐强度：Class 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 II b）

证据评价方法：LOE

指南质量等级：A

年份：2022

国家：European Society of Cardiology

来源 2022 ESC Guidelines on cardiovascular assessment and management of patients undergoing non-cardiac surgery
阅读
Array ( [id] => 562 [catid] => 191 [title] => 2022 ESC Guidelines on cardiovascular assessment and management of patients undergoing non-cardiac surgery [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => https://www.anes-guide.com/show/562.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:13:02 [updatetime] => 2024-01-11 15:13:02 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => LOE [zjfj] => [tjqd] => [nianfen] => 2022 [guojia] => European Society of Cardiology [pdf] => [tjyjyw] => [lyyw] => Stress imaging is not recommended routinely before NCS.(Evidence: Level C，Recommendation: ClassⅢ ) [laiyuan] => 常规NCS术前不推荐负荷影像检查。（证据级别：Level C ；推荐强度：Class Ⅲ ） [znzldj] => A [_inputtime] => 1704957182 [_updatetime] => 1704957182 [_nrjc] => [_nrsh] => )
推荐意见
常规NCS术前不推荐负荷影像检查。（证据级别：Level C ；推荐强度：Class Ⅲ ）

Stress imaging is not recommended routinely before NCS.(Evidence: Level C，Recommendation: ClassⅢ )

证据评价方法：LOE

指南质量等级：A

年份：2022

国家：European Society of Cardiology

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

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