Modern approaches to projection and differentiated assessment of cardiovascular risks in surgery: review

Abstract

OBJECTIVE: Study modern approaches to projection and differentiated assessment of cardiovascular risks with extracardiac surgical interventions.MATERIALS AND METHODS: The articles from scientometric database RSCI, PubMed and Scopus for 2005–2022 are analyzed. In total, 39 literary sources were selected; not less than 70% of which were published over the past 5 years. The works, published more than 5 years ago, were allowed to include in the literature review only in case if they were primary sources and highly informative. RESULTS: To predict perioperative risk there is currently a range of general validated scales that help to define patients with a high risk of death and development of complications. These algorithms were developed based on multivariate statistical analysis of a large number of studies and reflect the links between clinical, laboratory and instrumental indicators with perioperative cardiovascular risk and mortality.DISCUSSION: Nowadays there is no opportunity to predict the risk of developing cardiovascular complications and death after surgical intervention with 100% probability. The majority of existing indices and scales has their drawbacks, but complement each other, and their use may significantly help in the decision-making process on patient management tactics. However, data acquired through these means should be considered and taken into account only in the general context of diagnostic process along with conventional diagnostic methods.CONCLUSION: The assessment of patient’s medical status and cardiovascular risk is one of the major tasks in preoperative preparation, which solution requires improvement and standardization of step-by-step algorithms.