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Inicio Revista Española de Anestesiología y Reanimación (English Edition) Clinical Practice Guideline (CPG). Recommendations on strategy for reducing risk...
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Vol. 62. Issue 7.
Pages 359-419 (August - September 2015)
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Vol. 62. Issue 7.
Pages 359-419 (August - September 2015)
Consensus statement
Clinical Practice Guideline (CPG). Recommendations on strategy for reducing risk of heart failure patients requiring noncardiac surgery
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J. Alvarez Escuderoa, J.M. Calvo Vecinoa,b,
Corresponding author
jmaria.calvo@salud.madrid.org

Corresponding author.
, S. Veirasc, R. Garcíad, A. Gonzáleze
a Professor and Head of the Department of Anesthesiology, University Hospital, Santiago de Compostela, La Coruña, Spain
b Associated Professor and Head of the Department of Anesthesiology, Infanta Leonor University Hospital, Complutense University of Madrid, Madrid, Spain
c Department of Anesthesiology, University Hospital, Santiago de Compostela, La Coruña, Spain
d Department of Anesthesiology, Puerta del Mar University Hospital. Cadiz, Spain
e Department of Anesthesiology, Puerta de Hierro University Hospital. Madrid, Spain
Working Group of the CPG
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Tables (35)
Table 1. Evidence rating and grades of recommendation.
Table 2. Symptomatology of heart failure.
Table 3. Functional classification according to the American College of Cardiology/American heart Association (ACC/AHA) and of the New York Heart Association (NYHA) based on severity of symptoms and exercise.
Table 4. Pharmacological therapy indicated in the treatment of heart failure.
Table 5. Surgical risk in CHF patients based on the type of surgery.
Table 6. Surgical risk based preoperative cardiac status.
Table 7. Cardiological situation in which the patients must be evaluated using specific cardiological protocols.
Table 8. Recommended monitoring in patients undergoing preoperative haemodynamic optimisation with inotropic drugs such as levosimendan.
Table 9. Most common causes of postoperative low output.
Table 10. Trigger factors for acute heart failure (AHF).
Table 11. Therapeutic goals in acute postoperative heart failure.
Table 12. Differential diagnosis of postoperative dyspnoea.
Table 13. Positive inotropic or vasopressor drugs, or both, used to treat acute HF.
Table 14. Diagnosis of cardiogenic shock.
Table 15. Basic therapeutic manoeuvres in left ventricle failure.
Table 16. Basic therapeutic manoeuvres in postoperative myocardial ischaemia.
Table 17. Use of inotropes and ventricular assist devices according to haemodynamic status.
Table 18. Main predisposing factors for right ventricle failure.
Table 19. Pharmacological therapy in right ventricle failure.
Levels of evidence and grades of recommendation (GRADE).
Surgical riska estimate.
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