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Array ( [id] => 2135 [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/2135.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] => Peri-operative continuation of beta-blockers is recommended in patients currently receiving this medication.(Evidence: Level B,Recommendation: Class I) [laiyuan] => 建议长期使用β受体阻滞剂的患者在围手术期应继续使用。(证据等级:B;推荐强度:I) [znzldj] => A [_inputtime] => 1734572561 [_updatetime] => 1734572561 [_nrjc] => [_nrsh] => )
推荐意见
建议长期使用β受体阻滞剂的患者在围手术期应继续使用。(证据等级:B;推荐强度:I)

Peri-operative continuation of beta-blockers is recommended in patients currently receiving this medication.(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] => 2136 [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/2136.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 already on statins, it is recommended to continue statins during the peri-operative period.(Evidence: Level B,Recommendation: Class I) [laiyuan] => 术前已经使用他汀类药物的患者,建议在围手术期继续使用。(证据等级:B;推荐强度:I) [znzldj] => A [_inputtime] => 1734572561 [_updatetime] => 1734572561 [_nrjc] => [_nrsh] => )
推荐意见
术前已经使用他汀类药物的患者,建议在围手术期继续使用。(证据等级:B;推荐强度:I)

In patients already on statins, it is recommended to continue statins during the peri-operative period.(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] => 2137 [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/2137.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 stable HF, peri-operative continuation of RAAS inhibitors may be considered.(Evidence: Level C ,Recommendation: Class IIb) [laiyuan] => 对于稳定的心力衰竭患者,可以考虑围手术期继续使用RAAS(肾素-血管紧张素-醛固酮系统)抑制剂。(证据等级:C;推荐强度:IIb) [znzldj] => A [_inputtime] => 1734572561 [_updatetime] => 1734572561 [_nrjc] => [_nrsh] => )
推荐意见
对于稳定的心力衰竭患者,可以考虑围手术期继续使用RAAS(肾素-血管紧张素-醛固酮系统)抑制剂。(证据等级:C;推荐强度:IIb)

In patients with stable HF, peri-operative continuation of RAAS inhibitors may be considered.(Evidence: Level C ,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] => 2138 [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/2138.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 without HF, withholding RAAS inhibitors on the day of NCS should be considered to prevent peri-operative hypotension.(Evidence: Level B,Recommendation: Class IIa) [laiyuan] => 对于没有心力衰竭的患者,在非心脏手术当天应暂停使用RAAS(肾素-血管紧张素-醛固酮系统)抑制剂,以防止围手术期低血压。(证据等级:B;推荐强度:IIa) [znzldj] => A [_inputtime] => 1734572561 [_updatetime] => 1734572561 [_nrjc] => [_nrsh] => )
推荐意见
对于没有心力衰竭的患者,在非心脏手术当天应暂停使用RAAS(肾素-血管紧张素-醛固酮系统)抑制剂,以防止围手术期低血压。(证据等级:B;推荐强度:IIa)

In patients without HF, withholding RAAS inhibitors on the day of NCS should be considered to prevent peri-operative hypotension.(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

阅读
Array ( [id] => 2139 [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/2139.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] => For patients on diuretics to treat hypertension,transient discontinuation of diuretics on the day of NCS should be considered.(Evidence: Level B,Recommendation: Class IIa) [laiyuan] => 对于服用利尿剂治疗高血压的患者,应考虑在非心脏手术当天暂时停用利尿剂。(证据等级:B;推荐强度:IIa) [znzldj] => A [_inputtime] => 1734572561 [_updatetime] => 1734572561 [_nrjc] => [_nrsh] => )
推荐意见
对于服用利尿剂治疗高血压的患者,应考虑在非心脏手术当天暂时停用利尿剂。(证据等级:B;推荐强度:IIa)

For patients on diuretics to treat hypertension,transient discontinuation of diuretics on the day of NCS should be considered.(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

阅读
Array ( [id] => 2140 [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/2140.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 should be considered to interrupt SGLT-2 inhibitor therapy for at least 3 days before intermediate- and high-risk NCS.(Evidence: Level C,Recommendation: Class IIa) [laiyuan] => 在中高危非心脏手术前,应考虑中断SGLT-2(钠-葡萄糖协同转运蛋白2)抑制剂治疗至少3天。(证据等级:C;推荐强度:IIa) [znzldj] => A [_inputtime] => 1734572561 [_updatetime] => 1734572561 [_nrjc] => [_nrsh] => )
推荐意见
在中高危非心脏手术前,应考虑中断SGLT-2(钠-葡萄糖协同转运蛋白2)抑制剂治疗至少3天。(证据等级:C;推荐强度:IIa)

It should be considered to interrupt SGLT-2 inhibitor therapy for at least 3 days before 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] => 2141 [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/2141.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 delay elective NCS until 6 months after elective PCI and 12 months after an ACS.(Evidence: Level A ,Recommendation: Class I) [laiyuan] => 建议将择期非心脏手术延迟至择期经皮冠状动脉介入治疗后6个月和急性冠状动脉综合征后12个月。(证据级别:A;推荐强度:Ⅰ) [znzldj] => A [_inputtime] => 1734572561 [_updatetime] => 1734572561 [_nrjc] => [_nrsh] => )
推荐意见
建议将择期非心脏手术延迟至择期经皮冠状动脉介入治疗后6个月和急性冠状动脉综合征后12个月。(证据级别:A;推荐强度:Ⅰ)

It is recommended to delay elective NCS until 6 months after elective PCI and 12 months after an ACS.(Evidence: Level A ,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] => 2142 [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/2142.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] => After elective PCI, it is recommended to delay time-sensitive NCS until a minimum of 1 month of DAPT treatment has been given.(Evidence: Level B,Recommendation: Class I) [laiyuan] => 时间敏感的NCS手术应延期至择期PCI术后至少双抗1个月。(证据级别:B;推荐强度:Ⅰ) [znzldj] => A [_inputtime] => 1734572561 [_updatetime] => 1734572561 [_nrjc] => [_nrsh] => )
推荐意见
时间敏感的NCS手术应延期至择期PCI术后至少双抗1个月。(证据级别:B;推荐强度:Ⅰ)

After elective PCI, it is recommended to delay time-sensitive NCS until a minimum of 1 month of DAPT treatment has been given.(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] => 2143 [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/2143.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 a recent PCI scheduled for NCS, it is recommended that management of antiplatelet therapy is discussed between the surgeon, anaesthesiologist, and cardiologist.(Evidence: Level C,Recommendation: Class Ⅰ) [laiyuan] => 对于最近计划接受非心脏手术经皮冠状动脉介入治疗的患者,建议外科医生、麻醉医师和心脏病专家讨论抗血小板治疗的管理。(证据级别:C;推荐强度:Ⅰ) [znzldj] => A [_inputtime] => 1734572561 [_updatetime] => 1734572561 [_nrjc] => [_nrsh] => )
推荐意见
对于最近计划接受非心脏手术经皮冠状动脉介入治疗的患者,建议外科医生、麻醉医师和心脏病专家讨论抗血小板治疗的管理。(证据级别:C;推荐强度:Ⅰ)

In patients with a recent PCI scheduled for NCS, it is recommended that management of antiplatelet therapy is discussed between the surgeon, anaesthesiologist, and cardiologist.(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] => 2144 [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/2144.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 high-risk patients with a recent PCI (e.g. STEMI patients or high-risk NSTE-ACS patients), a DAPT duration of at least 3 months should be considered before time-sensitive NCS.(Evidence: Level C,Recommendation: Class IIa) [laiyuan] => 对于近期接受经皮冠状动脉介入治疗的高危患者(例如ST 段抬高型心肌梗死患者或高危非 ST 段抬高型急性冠状动脉综合征患者),应考虑在时间敏感的非心脏手术之前进行至少 3 个月的双重抗血小板治疗。(证据级别:C;推荐强度:Ⅱa) [znzldj] => A [_inputtime] => 1734572561 [_updatetime] => 1734572561 [_nrjc] => [_nrsh] => )
推荐意见
对于近期接受经皮冠状动脉介入治疗的高危患者(例如ST 段抬高型心肌梗死患者或高危非 ST 段抬高型急性冠状动脉综合征患者),应考虑在时间敏感的非心脏手术之前进行至少 3 个月的双重抗血小板治疗。(证据级别:C;推荐强度:Ⅱa)

In high-risk patients with a recent PCI (e.g. STEMI patients or high-risk NSTE-ACS patients), a DAPT duration of at least 3 months should be considered before time-sensitive 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