Perioperative cardiac risk assessment and management.

Abstract

Letters15 April 1998Perioperative Cardiac Risk Assessment and ManagementSteven L. Cohn, MDSteven L. Cohn, MDState University of New York Health Science Center at Brooklyn; Brooklyn, NY 11203Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-128-8-199804150-00018 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail TO THE EDITOR:After reviewing the American College of Physicians' guidelines for perioperative cardiac risk assessment [1], I thought that the recommendations overly relied on Detsky and colleagues' modified cardiac risk index [2]. In contrast to the American College of Cardiology/American Heart Association guidelines [3], the College's position paper was written by two physicians, one of whom may have been biased by his own risk index. Another possible problem is that the College's guidelines do not include use of exercise capacity in risk assessment, despite the fairly widespread use of this measure. At the same time, however, the guidelines recommend ...