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Array ( [id] => 546 [catid] => 191 [title] => 2022 ESC Guidelines on cardiovascular assessment and management of patients undergoing non-cardiac surgery [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => /show/546.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:13:02 [updatetime] => 2024-01-11 15:13:02 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => LOE [zjfj] => [tjqd] => [nianfen] => 2022 [guojia] => European Society of Cardiology [pdf] => [tjyjyw] => [lyyw] => It is not recommended to defer NCS in patients with stage 1 or 2 hypertension. (Evidence: Level C ,Recommendation: Class Ⅲ) [laiyuan] => 不推荐推迟1期或2期高血压患者的NCS。(证据级别:Level C ;推荐强度:Class Ⅲ) [znzldj] => A [_inputtime] => 1704957182 [_updatetime] => 1704957182 [_nrjc] => [_nrsh] => )
推荐意见
不推荐推迟1期或2期高血压患者的NCS。(证据级别:Level C ;推荐强度:Class Ⅲ)

It is not recommended to defer NCS in patients with stage 1 or 2 hypertension. (Evidence: Level C ,Recommendation: Class Ⅲ)

证据评价方法:LOE

指南质量等级:A

年份:2022

国家:European Society of Cardiology

阅读
Array ( [id] => 547 [catid] => 191 [title] => 2022 ESC Guidelines on cardiovascular assessment and management of patients undergoing non-cardiac surgery [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => /show/547.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:13:02 [updatetime] => 2024-01-11 15:13:02 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => LOE [zjfj] => [tjqd] => [nianfen] => 2022 [guojia] => European Society of Cardiology [pdf] => [tjyjyw] => [lyyw] => Pre-operative routine carotid artery imaging is not recommended in patients undergoing NCS. (Evidence: Level C ,Recommendation: Class Ⅲ) [laiyuan] => 不推荐接受NCS的患者进行术前常规颈动脉成像。(证据级别:Level C ;推荐强度:Class Ⅲ) [znzldj] => A [_inputtime] => 1704957182 [_updatetime] => 1704957182 [_nrjc] => [_nrsh] => )
推荐意见
不推荐接受NCS的患者进行术前常规颈动脉成像。(证据级别:Level C ;推荐强度:Class Ⅲ)

Pre-operative routine carotid artery imaging is not recommended in patients undergoing NCS. (Evidence: Level C ,Recommendation: Class Ⅲ)

证据评价方法:LOE

指南质量等级:A

年份:2022

国家:European Society of Cardiology

阅读
Array ( [id] => 548 [catid] => 191 [title] => 2022 ESC Guidelines on cardiovascular assessment and management of patients undergoing non-cardiac surgery [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => /show/548.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:13:02 [updatetime] => 2024-01-11 15:13:02 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => LOE [zjfj] => [tjqd] => [nianfen] => 2022 [guojia] => European Society of Cardiology [pdf] => [tjyjyw] => [lyyw] => Pre-operative carotid artery and cerebral imaging is recommended in patients with a history of TIA or stroke in the previous 6 months and who have not undergone ipsilateral revascularization. (Evidence: Level C,Recommendation: Class Ⅰ) [laiyuan] => 对于在过去6个月内有短暂性脑缺血发作或卒中史且未接受同侧血运重建的患者,推荐进行术前颈动脉和脑成像。(证据级别:Level C ;推荐强度:Class Ⅰ) [znzldj] => A [_inputtime] => 1704957182 [_updatetime] => 1704957182 [_nrjc] => [_nrsh] => )
推荐意见
对于在过去6个月内有短暂性脑缺血发作或卒中史且未接受同侧血运重建的患者,推荐进行术前颈动脉和脑成像。(证据级别:Level C ;推荐强度:Class Ⅰ)

Pre-operative carotid artery and cerebral imaging is recommended in patients with a history of TIA or stroke in the previous 6 months and who have not undergone ipsilateral revascularization. (Evidence: Level C,Recommendation: Class Ⅰ)

证据评价方法:LOE

指南质量等级:A

年份:2022

国家:European Society of Cardiology

阅读
Array ( [id] => 549 [catid] => 191 [title] => 2022 ESC Guidelines on cardiovascular assessment and management of patients undergoing non-cardiac surgery [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => /show/549.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:13:02 [updatetime] => 2024-01-11 15:13:02 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => LOE [zjfj] => [tjqd] => [nianfen] => 2022 [guojia] => European Society of Cardiology [pdf] => [tjyjyw] => [lyyw] => In patients with known risk factors (age> 65 years, BMI> 30 kg/m2, diabetes, hypertension, hyperlipidaemia, CV disease, or smoking) undergoing intermediate- or high-risk NCS, it is recommended to screen for pre-operative renal disease by measuring serum creatinine and GFR. (Evidence: Level C ,Recommendation: Class Ⅰ) [laiyuan] => 对于已知有风险因素(年龄 > 65岁、BMI > 30 kg/m2、糖尿病、高血压、高脂血症、心血管疾病或吸烟)且接受中或高风险NCS的患者,推荐通过测量血清肌酐和肾小球滤过率筛查术前肾病。(证据级别:Level C ;推荐强度:Class Ⅰ) [znzldj] => A [_inputtime] => 1704957182 [_updatetime] => 1704957182 [_nrjc] => [_nrsh] => )
推荐意见
对于已知有风险因素(年龄 > 65岁、BMI > 30 kg/m2、糖尿病、高血压、高脂血症、心血管疾病或吸烟)且接受中或高风险NCS的患者,推荐通过测量血清肌酐和肾小球滤过率筛查术前肾病。(证据级别:Level C ;推荐强度:Class Ⅰ)

In patients with known risk factors (age> 65 years, BMI> 30 kg/m2, diabetes, hypertension, hyperlipidaemia, CV disease, or smoking) undergoing intermediate- or high-risk NCS, it is recommended to screen for pre-operative renal disease by measuring serum creatinine and GFR. (Evidence: Level C ,Recommendation: Class Ⅰ)

证据评价方法:LOE

指南质量等级:A

年份:2022

国家:European Society of Cardiology

阅读
Array ( [id] => 550 [catid] => 191 [title] => 2022 ESC Guidelines on cardiovascular assessment and management of patients undergoing non-cardiac surgery [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => /show/550.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:13:02 [updatetime] => 2024-01-11 15:13:02 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => LOE [zjfj] => [tjqd] => [nianfen] => 2022 [guojia] => European Society of Cardiology [pdf] => [tjyjyw] => [lyyw] => In patients who have known CVD or CV risk factors (including age≥65 years), or symptoms or signs suggestive of CVD it is recommended to obtain a pre-operative 12-lead ECG before intermediate- and high-risk NCS.(Evidence: Level C,Recommendation: Class Ⅰ) [laiyuan] => 对于已知有心血管疾病或心血管危险因素(包括年龄≥65 岁),或有心血管疾病症状或体征的患者,推荐在中高风险NCS术前获取12导联心电图。(证据级别:Level C ;推荐强度:Class Ⅰ) [znzldj] => A [_inputtime] => 1704957182 [_updatetime] => 1704957182 [_nrjc] => [_nrsh] => )
推荐意见
对于已知有心血管疾病或心血管危险因素(包括年龄≥65 岁),或有心血管疾病症状或体征的患者,推荐在中高风险NCS术前获取12导联心电图。(证据级别:Level C ;推荐强度:Class Ⅰ)

In patients who have known CVD or CV risk factors (including age≥65 years), or symptoms or signs suggestive of CVD it is recommended to obtain a pre-operative 12-lead ECG before intermediate- and high-risk NCS.(Evidence: Level C,Recommendation: Class Ⅰ)

证据评价方法:LOE

指南质量等级:A

年份:2022

国家:European Society of Cardiology

阅读
Array ( [id] => 551 [catid] => 191 [title] => 2022 ESC Guidelines on cardiovascular assessment and management of patients undergoing non-cardiac surgery [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => /show/551.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:13:02 [updatetime] => 2024-01-11 15:13:02 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => LOE [zjfj] => [tjqd] => [nianfen] => 2022 [guojia] => European Society of Cardiology [pdf] => [tjyjyw] => [lyyw] => In patients who have known CVD, CV risk factors (including age ≥65 years), or symptoms suggestive of CVD it is recommended to measure hs-cTn T or hs-cTn I before intermediate- and high-risk NCS, and at 24 h and 48 h afterwards.(Evidence: Level B ,Recommendation: Class Ⅰ) [laiyuan] => 对于已知有心血管疾病或心血管危险因素(包括年龄≥65 岁),或有心血管疾病症状或体征的患者,推荐建议在中高危NCS术前、术后后24小时和48小时测定hs-cTnT或hs-cTnI。(证据级别:Level C ;推荐强度:Class Ⅰ) [znzldj] => A [_inputtime] => 1704957182 [_updatetime] => 1704957182 [_nrjc] => [_nrsh] => )
推荐意见
对于已知有心血管疾病或心血管危险因素(包括年龄≥65 岁),或有心血管疾病症状或体征的患者,推荐建议在中高危NCS术前、术后后24小时和48小时测定hs-cTnT或hs-cTnI。(证据级别:Level C ;推荐强度:Class Ⅰ)

In patients who have known CVD, CV risk factors (including age ≥65 years), or symptoms suggestive of CVD it is recommended to measure hs-cTn T or hs-cTn I before intermediate- and high-risk NCS, and at 24 h and 48 h afterwards.(Evidence: Level B ,Recommendation: Class Ⅰ)

证据评价方法:LOE

指南质量等级:A

年份:2022

国家:European Society of Cardiology

阅读
Array ( [id] => 552 [catid] => 191 [title] => 2022 ESC Guidelines on cardiovascular assessment and management of patients undergoing non-cardiac surgery [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => /show/552.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:13:02 [updatetime] => 2024-01-11 15:13:02 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => LOE [zjfj] => [tjqd] => [nianfen] => 2022 [guojia] => European Society of Cardiology [pdf] => [tjyjyw] => [lyyw] => In patients who have known CVD, CV risk factors (including age ≥65 years), or symptoms suggestive of CVD, it should be considered to measure BNP or NT-proBNP before intermediate- and high-risk NCS. (Evidence: Level B ,Recommendation: Class IIa) [laiyuan] => 对于已知心血管疾病、心血管危险因素(包括年龄≥65岁)或有心血管疾病症状的患者,应考虑在中高危NCS术前测定BNP或NT-proBNP。(证据级别:Level B ;推荐强度:Class IIa)。 [znzldj] => A [_inputtime] => 1704957182 [_updatetime] => 1704957182 [_nrjc] => [_nrsh] => )
推荐意见
对于已知心血管疾病、心血管危险因素(包括年龄≥65岁)或有心血管疾病症状的患者,应考虑在中高危NCS术前测定BNP或NT-proBNP。(证据级别:Level B ;推荐强度:Class IIa)。

In patients who have known CVD, CV risk factors (including age ≥65 years), or symptoms suggestive of CVD, it should be considered to measure BNP or NT-proBNP before intermediate- and high-risk NCS. (Evidence: Level B ,Recommendation: Class IIa)

证据评价方法:LOE

指南质量等级:A

年份:2022

国家:European Society of Cardiology

阅读
Array ( [id] => 553 [catid] => 191 [title] => 2022 ESC Guidelines on cardiovascular assessment and management of patients undergoing non-cardiac surgery [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => /show/553.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:13:02 [updatetime] => 2024-01-11 15:13:02 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => LOE [zjfj] => [tjqd] => [nianfen] => 2022 [guojia] => European Society of Cardiology [pdf] => [tjyjyw] => [lyyw] => In low-risk patients undergoing low- and intermediate-risk NCS, it is not recommended to routinely obtain pre-operative ECG, hs-cTn T/I, or BNP/NT-proBNP concentrations.(Evidence: Level B ,Recommendation: Class III) [laiyuan] => 对于接受低中危风险NCS的患者,不建议常规获取术前心电图、hs-cTn T/I或BNP/NT-proBNP浓度。(证据级别:Level B ;推荐强度:Class III) [znzldj] => A [_inputtime] => 1704957182 [_updatetime] => 1704957182 [_nrjc] => [_nrsh] => )
推荐意见
对于接受低中危风险NCS的患者,不建议常规获取术前心电图、hs-cTn T/I或BNP/NT-proBNP浓度。(证据级别:Level B ;推荐强度:Class III)

In low-risk patients undergoing low- and intermediate-risk NCS, it is not recommended to routinely obtain pre-operative ECG, hs-cTn T/I, or BNP/NT-proBNP concentrations.(Evidence: Level B ,Recommendation: Class III)

证据评价方法:LOE

指南质量等级:A

年份:2022

国家:European Society of Cardiology

阅读
Array ( [id] => 554 [catid] => 191 [title] => 2022 ESC Guidelines on cardiovascular assessment and management of patients undergoing non-cardiac surgery [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => /show/554.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:13:02 [updatetime] => 2024-01-11 15:13:02 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => LOE [zjfj] => [tjqd] => [nianfen] => 2022 [guojia] => European Society of Cardiology [pdf] => [tjyjyw] => [lyyw] => TTE is recommended in patients with poor functional capacityc and/or high NT-proBNP/ BNP,d or if murmurs are detected before high-risk NCS, in order to undertake risk-reduction strategies. (Evidence: Level B ,Recommendation: Class I) [laiyuan] => 对于功能能力差和/或NT-proBNP/BNP高或在高危NCS术前检测到杂音的患者,推荐使用经胸超声心电图,以便采取降低风险的策略。(证据级别:Level B ;推荐强度:Class I)。 [znzldj] => A [_inputtime] => 1704957182 [_updatetime] => 1704957182 [_nrjc] => [_nrsh] => )
推荐意见
对于功能能力差和/或NT-proBNP/BNP高或在高危NCS术前检测到杂音的患者,推荐使用经胸超声心电图,以便采取降低风险的策略。(证据级别:Level B ;推荐强度:Class I)。

TTE is recommended in patients with poor functional capacityc and/or high NT-proBNP/ BNP,d or if murmurs are detected before high-risk NCS, in order to undertake risk-reduction strategies. (Evidence: Level B ,Recommendation: Class I)

证据评价方法:LOE

指南质量等级:A

年份:2022

国家:European Society of Cardiology

阅读
Array ( [id] => 555 [catid] => 191 [title] => 2022 ESC Guidelines on cardiovascular assessment and management of patients undergoing non-cardiac surgery [thumb] => [keywords] => [description] => [hits] => [uid] => 1 [author] => 系统管理员 [status] => 9 [url] => /show/555.html [link_id] => 0 [tableid] => 0 [inputip] => 14.105.95.222 [inputtime] => 2024-01-11 15:13:02 [updatetime] => 2024-01-11 15:13:02 [displayorder] => 0 [nrjc] => Array ( ) [nrsh] => Array ( ) [xzl] => 0 [dzl] => 0 [wailian] => [demo_url] => [zjpjff] => LOE [zjfj] => [tjqd] => [nianfen] => 2022 [guojia] => European Society of Cardiology [pdf] => [tjyjyw] => [lyyw] => TTE should be considered in patients with suspected new CVD or unexplained signs or symptoms before high-risk NCS.(Evidence: Level B ,Recommendation:Class IIa) [laiyuan] => 疑似新发的心血管疾病或在高危NCS之前有不明原因的体征或症状的患者,应考虑经胸超声心电图。(证据级别:Level B ;推荐强度:Class IIa) [znzldj] => A [_inputtime] => 1704957182 [_updatetime] => 1704957182 [_nrjc] => [_nrsh] => )
推荐意见
疑似新发的心血管疾病或在高危NCS之前有不明原因的体征或症状的患者,应考虑经胸超声心电图。(证据级别:Level B ;推荐强度:Class IIa)

TTE should be considered in patients with suspected new CVD or unexplained signs or symptoms before high-risk NCS.(Evidence: Level B ,Recommendation:Class IIa)

证据评价方法:LOE

指南质量等级:A

年份:2022

国家:European Society of Cardiology

阅读