Please use this identifier to cite or link to this item: https://observatorio.fm.usp.br/handle/OPI/232
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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP-
dc.contributor.authorCARMO, Gabriel A. L.-
dc.contributor.authorCALDERARO, Daniela-
dc.contributor.authorYU, Pai C.-
dc.contributor.authorGUALANDRO, Danielle M.-
dc.contributor.authorMARQUES, Andre C.-
dc.contributor.authorBITTAR, Cristina S.-
dc.contributor.authorPASTANA, Adriana F.-
dc.contributor.authorCARAMELLI, Bruno-
dc.date.accessioned2013-07-30T14:34:59Z-
dc.date.available2013-07-30T14:34:59Z-
dc.date.issued2012-
dc.identifier.citationREVISTA DA ASSOCIACAO MEDICA BRASILEIRA, v.58, n.4, p.505-512, 2012-
dc.identifier.issn0104-4230-
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/232-
dc.description.abstractWhen dealing with surgical patients, a perioperative evaluation is essential to anticipate complications and institute measures to reduce the risks. Several algorithms and exams have been used to identify postoperative cardiovascular events, which account for more than 50% of perioperative mortality. However, they are far from ideal. Some of these algorithms and exams were proposed before important advances in cardiology, at a time when pharmacological risk reduction strategies for surgical patients were not available. New biomarkers and exams, such as C-reactive protein, brain natriuretic peptide, and multislice computed tomography have been used in cardiology and have provided important prognostic information. The ankle-brachial index is another significant marker of atherosclerosis. However, specific information regarding the perioperative context of all these methods is still needed. The objective of this article is to evaluate cardiovascular risk prediction models after noncardiac surgery.-
dc.description.abstractA avaliação perioperatória é essencial ao lidar com pacientes candidatos a procedimen cirúrgicos, para que complicações possam ser previstas e medidas instituídas para a redução desse risco. Diversos algoritmos, fluxogramas e exames têm sido usados como preditores de eventos cardiovasculares no pós-operatório, os quais são responsáveis por mais de 50% da mortalidade neste período. Entretanto, eles estão longe de ser perfei. Alguns deles foram propostos antes de importantes avanços na cardiologia, em uma época em que estratégias farmacológicas de redução de risco não estavam disponíveis. Novos biomarcadores e exames como proteína C reativa, peptídeo natriurético cerebral e tomografia computadorizada multislice têm sido usados em cardiologia e se mostraram muito valiosos na avaliação prognóstica. O Índice Tornozelo Braquial é outro importante marcador de aterosclerose, mas faltam dados específicos no contexto perioperatório. O objetivo deste estudo é avaliar os modelos de predição de risco cardiovascular em cirurgia não cardíaca.-
dc.language.isoeng-
dc.publisherASSOC MEDICA BRASILEIRA-
dc.relation.ispartofRevista da Associacao Medica Brasileira-
dc.rightsopenAccess-
dc.subjectPerioperative care-
dc.subjectgeneral surgery-
dc.subjectgeneral anesthesia-
dc.subjectcardiovascular risk-
dc.subjectAssistência perioperatória-
dc.subjectcirurgia geral-
dc.subjectpeptídeo natriurético encefálico-
dc.subjectanestesia geral-
dc.subjectrisco cardiovascular-
dc.subjectíndice tornozelo-braço-
dc.subject.otherbrain natriuretic peptide-
dc.subject.othermajor noncardiac surgery-
dc.subject.otherankle-brachial index-
dc.subject.otherperipheral arterial-disease-
dc.subject.othercoronary-heart-disease-
dc.subject.otherpostoperative cardiac events-
dc.subject.otheraverage cholesterol levels-
dc.subject.otherpopulation-based cohort-
dc.subject.othervascular-surgery-
dc.subject.othermyocardial-infarction-
dc.titlePerioperative cardiovascular evaluation: heads or tails?-
dc.title.alternativeAvaliação cardíaca perioperatória: cara ou coroa?-
dc.typearticle-
dc.rights.holderCopyright ASSOC MEDICA BRASILEIRA-
dc.identifier.doi10.1590/S0104-42302012000400025-
dc.identifier.pmid22930033-
dc.subject.wosMedicine, General & Internal-
dc.type.categoryoriginal article-
dc.type.versionpublishedVersion-
hcfmusp.description.beginpage505-
hcfmusp.description.endpage512-
hcfmusp.description.issue4-
hcfmusp.description.volume58-
hcfmusp.origemWOS-
hcfmusp.origem.idWOS:000307527600024-
hcfmusp.origem.id2-s2.0-84866092435-
hcfmusp.origem.idSCIELO:S0104-42302012000400025-
hcfmusp.publisher.citySAO PAULO-
hcfmusp.publisher.countryBRAZIL-
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dc.description.indexMEDLINE-
hcfmusp.citation.scopus8-
hcfmusp.scopus.lastupdate2022-05-06-
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Instituto do Coração - HC/InCor


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