Preoperative Diagnostic Assessment of Patients with Cardiovascular Risk Factors Undergoing Noncardiac Surgery: A 2025 Update

Despite medical advances and increased perioperative testing, mortality and cardiovascular complications of noncardiac surgery (NCS) have hardly declined since the early 2000s. Studies demonstrate a disproportionate overutilization of preoperative diagnostic testing with a concurrent underutilizatio...

Full description

Bibliographic Details
Published in:	Methodist DeBakey Cardiovascular Journal
Main Authors:	Nikitha M. Murthy, Thomas T. Yoo, Alyssa Sanchez, Mayur Chhitu, Dmitry Abramov, Jason Gatling, Mamas A. Mamas, Purvi Parwani
Format:	Article
Language:	English
Published:	Houston Methodist DeBakey Heart & Vascular Center 2025-08-01
Subjects:	preoperative assessment noncardiac surgery perioperative testing risk calculator
Online Access:	https://account.journal.houstonmethodist.org/index.php/up-j-mdbcj/article/view/1629

Similar Items

Preoperative Transthoracic Echocardiography Predicts Cardiac Complications in Elderly Patients with Coronary Artery Disease Undergoing Noncardiac Surgery
by: Liu Z, et al.
Published: (2022-08-01)

C-Reactive protein predicts acute myocardial infarction during high-risk noncardiac and vascular surgery
by: Oscar M. Martins, et al.
Published: (2011-01-01)

Derivation and internal–external validation of clinical prediction model for postoperative clinically important hypotension in patients undergoing noncardiac surgery: an international prospective cohort study
by: Stephen Su Yang, et al.
Published: (2025-06-01)

Myocardial injury before noncardiac surgery
by: Zhibing Chen, et al.
Published: (2023-08-01)

Clevidipine for the management of hypertension in the perioperative cardiac and noncardiac surgical settings: a systematic review
by: Alice Bottussi, et al.
Published: (2025-05-01)

Perioperative management of patients with left ventricular assist devices undergoing noncardiac surgery
by: Meredith Degnan, et al.
Published: (2016-01-01)

N-terminal pro B type natriuretic peptide in high cardiovascular-risk patients for noncardiac surgery: What is the current prognostic evidence?
by: Anita K Malhotra, et al.
Published: (2016-01-01)

Predictive accuracy of cardiac risk indices for cardiovascular complications in patients undergoing noncardiac surgery
by: D. A. Sokolov, et al.
Published: (2023-05-01)

NT-proBNP level as a substitute for myocardial perfusion scan in preoperative cardiovascular risk assessment in noncardiac surgery
by: Saeede Esmati, et al.
Published: (2023-07-01)

Preoperative Prevention of Heart Failure in Noncardiac Surgery
by: V. V. Likhvantsev, et al.
Published: (2016-07-01)

The association between preoperative anemia and postoperative mortality among non-cardiac surgical patients in Northwest Ethiopia: a prospective cohort study
by: Misganew Terefe Molla, et al.
Published: (2025-01-01)

Clinical utility of preoperative stress perfusion cardiac magnetic resonance for predicting cardiovascular events in patients undergoing major noncardiac surgery
by: Ngamsiree Sukprasert, et al.
Published: (2025-12-01)

Association between preoperative frailty and myocardial injury after noncardiac surgery in geriatric patients: study protocol for a prospective, multicentre, real-world observational, cohort trial
by: Yongtao Sun, et al.
Published: (2024-03-01)

Development and validation of an interpretable risk prediction model for perioperative ischemic stroke in noncardiac, nonvascular, and nonneurosurgical patients: a retrospective study
by: Xuhui Cong, et al.
Published: (2025-07-01)

Prevalence and Related Factors of Lower Urinary Tract Infection in Frail Older Adults Undergoing Major Noncardiac Surgery
by: Warin Thangrom, et al.
Published: (2023-02-01)

Association between Intraoperative Hyperlactatemia and Myocardial Injury after Noncardiac Surgery
by: Jeayoun Kim, et al.
Published: (2021-09-01)

Anesthetic Management of Patients with Dilated Cardiomyopathy Undergoing Noncardiac Surgery
by: Mengxin Li, et al.
Published: (2023-08-01)

The association between elevated preoperative red cell distribution width and worsening kidney function after noncardiac operation. A propensity score and competing risk weighted retrospective cohort study
by: Halldór B. Olafsson, et al.
Published: (2025-03-01)

Coronary Computed Angiography and Coronary Artery Calcium Score for Preoperative Cardiovascular Risk Stratification in Patients Undergoing Noncardiac Surgery
by: Ioannis Kyriakoulis, et al.
Published: (2025-04-01)

The impact of preoperative serum lactate dehydrogenase on mortality and morbidity after noncardiac surgery
by: Yingchao Zhu, et al.
Published: (2024-03-01)

Perioperative vascular events and myocardial injury after noncardiac surgery in vascular surgery: An overview of the current emerging evidence and guidelines
by: Alben Sigamani
Published: (2017-01-01)

Predicting perioperative myocardial injury/infarction after noncardiac surgery in patients under surgical and medical co-management: a prospective cohort study
by: Shaozhi Xi, et al.
Published: (2024-06-01)

Prognostic implications of the high sensitivity C-reactive protein to albumin ratio for major cardiovascular adverse events in patients undergoing noncardiac surgery
by: Yingjie Chen, et al.
Published: (2025-08-01)

The incidence and risk factors of perioperative cardiac complications in noncardiac major surgery in high-altitude areas: A prospective trial in Tibet autonomous region, China
by: Qianmei Zhu, et al.
Published: (2023-04-01)

Myocardial infarction in major noncardiac surgery: Epidemiology, pathophysiology and prevention
by: Cesare Fiorentini, et al.
Published: (2010-05-01)

Perioperative Risk of Noncardiac Surgery in Patients With Asymptomatic Significant Aortic Stenosis: A 10‐Year Retrospective Study
by: Minjung Bak, et al.
Published: (2024-05-01)

Perioperative Myocardial Damage and Heart Failure in Noncardiac Surgery. Part 1. Etiopathogenesis and Prognosis of Perioperative Cardiac Complications (Review)
by: I. A. Kozlov, et al.
Published: (2019-04-01)

Role of Dobutamine Stress Echocardiography in the Evaluation of Patients Undergoing Noncardiac Surgeries in the Contemporary Era
by: Tanu Chaudhary, et al.
Published: (2024-12-01)

Antiplatelet therapy in patients with coronary artery stents for noncardiac surgery: Role of thromboelastography
by: Rashmi Jain, et al.
Published: (2011-01-01)

Review of Echocardiographic reports of children undergoing noncardiac surgery in a tertiary health center in Nigeria
by: Mustafa O Asani, et al.
Published: (2022-01-01)

THE ASSESSMENT AND REDUCTION OF CARDIAC EVENTS RISK IN NONCARDIAC OPERATIONS: IS THERE A NEED FOR REVIEW OF RECOMMENDATIONS?
by: A. N. Sumin
Published: (2015-09-01)

Is HIV a Risk Factor for Adverse In-Hospital Cardiovascular Events Following Noncardiac Surgery?
by: Yoshan Moodley
Published: (2017-01-01)

Association Between Perioperative Adverse Cardiac Events and Mortality During One‐Year Follow‐Up After Noncardiac Surgery
by: Ah Ran Oh, et al.
Published: (2022-04-01)

Safety and outcomes of noncardiac surgery in patients with cardiac implantable electronic devices
by: Bahman Akhondi, et al.
Published: (2019-01-01)

Pleiotropic effects of statins in the perioperative setting
by: George Galyfos, et al.
Published: (2017-01-01)

Elevated risk of perioperative ischemic stroke in noncardiac surgery patients with atrial fibrillation: a retrospective cohort study
by: Yingfu Li, et al.
Published: (2025-04-01)

Association between stress hyperglycemia ratio and postoperative major adverse cardiovascular and cerebrovascular events in noncardiac surgeries: a large perioperative cohort study
by: Zhihan Lyu, et al.
Published: (2024-11-01)

Associations Between Preoperative Glucose and Hemoglobin A1c Level and Myocardial Injury After Noncardiac Surgery
by: Jungchan Park, et al.
Published: (2021-04-01)

Patients With Congenital Heart Disease Undergoing Noncardiac Procedures at Hospitals With and Without a Cardiac Surgical Program
by: Viviane G. Nasr, et al.
Published: (2022-08-01)

Development and validation of a machine learning-based model for perioperative stroke prediction in noncardiac, nonvascular, and nonneurosurgical patients
by: Xuhui Cong, et al.
Published: (2025-06-01)