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Background and Purpose: Cardiac-related complications of elective surgery account for significant morbidity and mortality (an estimated 1 million perioperative MIs in the U.S. annually). In this update of the 1996 recommendations, new data (from 160 relevant articles) are integrated into concise, evidence-based guidelines for evaluating and assessing perioperative risk, for optimizing appropriate perioperative testing and/or intervention, and for adjusting care -- all aimed at decreasing perioperative and long-term risk.
Key Points:
1. Since 1996, the expert-opinion-based algorithm for perioperative cardiac-risk assessment has proved to be successfu…