@article{Harbar_Fesenko_Pidhirnyі_Svitlyk_Svitlyk_2020, title={Analysis of perioperative management of patients with cardiovascular pathology before non-cardiac surgery}, volume={16}, url={https://emergency.zaslavsky.com.ua/index.php/journal/article/view/1302}, DOI={10.22141/2224-0586.16.6.2020.216513}, abstractNote={<p><em><strong>Background.</strong> </em>Optimal and well-grounded pre-operative assessment is an important tool for improving patients’ outcomes. Despite published guidelines by the European Societies of Cardio­logy and Anesthesiology (ESC, ESA) Ukrainian medicine has not routinely accepted the algorithm of modern pre-operative assessment. The purpose of our study was to analyze standards of current pre-operative cardiac assessment of adults undergoing elective non-cardiac surgery and identify aspects that can be improved for the benefit of a patient and the clinic. <em><strong>Materials and methods.</strong> </em>We have examined 242 elective surgery cases and peculiarities of all pre-operative assessments and interventions taking into account patients’ characteristics and surgery type. <em><strong>Results.</strong></em> All patients underwent standard examinations according to the established rules. The ECG was recorded in all subjects, resting echocardiography was performed to 47 %, troponin test was in 3 %. According to ESC and ESA guidelines, functional capacity should be evaluated in 167 (69 %) individuals with further assessing clinical cardiac risk factors and non-invasive stress tests performing in persons with a high risk of myocardial infarction and cardiac death. Cardiac biomar­kers should be determined in 44 patients (18 %), resting ECG was registered to 127 patients (53 %) and resting echocardiography – to 38 people (16 %). Such tactics require communication between the outpatient and inpatient units of the medical system. <em><strong>Conclusions.</strong> </em>Pre-operative evaluation of almost all patients takes place within 24–48 hours after hospitalization. Elective non-cardiac surgery patients don’t have sufficient time to implement interventions to improve outcomes. We don’t promote functional capacity assessment, risk-scales, non-invasive stress-tests, and biomarkers for predicting adverse outcomes. Ukraine has all resources to implement current Guidelines on pre-operative evaluation to an individual patient and hospital benefits.</p>}, number={6}, journal={EMERGENCY MEDICINE}, author={Harbar, M.O. and Fesenko, U.A. and Pidhirnyі Ya.M. and Svitlyk, Y.O. and Svitlyk, H.V.}, year={2020}, month={Oct.}, pages={72–76} }