Current principles of decreasing perioperative cardial complications in extracardiac surgical interventions
Dzhioeva O.N.^1,2, Orlov D.O.¹, Reznik E.V.2, Nikitin I.G^.2, Rodoman G.V.<sup>1

1</sup> Municipal Clinical Hospital No. 24, Moscow
² Pirogov Russian National Research Medical University, Moscow

Throughout the world, the rate of complications in extracardiac surgeries ranges from 7 to 11%, the lethality ranges from 0.8 to 1.5%. Cardiovascular complications in the perioperative period are the main interdisciplinary problem. The comorbid background is much more common among elderly and senile patients than in middle-aged patients, that increases the number of surgical interventions performed in elderly patients with a burdened cardiac anamnesis, which cannot and should not be a reason for a refusal from surgical treatment. Therefore, the problem of stratification and modification of perioperative risk factors, the systematization of schemes and methods for perioperative and intraoperative cardiac monitoring is very important and urgent, which makes it possible to predict the probability of postoperative complications and optimize the therapeutic regimens of postoperative cardiac support in the hospital and outpatient stage. The main aim of a competent perioperative monitoring is to improve patient outcomes and reduce economic costs. The article considers the current provisions on the stratification of cardiac perioperative risk in extracardiac interventions, and identifies the problems requiring further study.

Key words: cardiac risk, extracardiac surgical intervention, perioperative complications.
For citation: Dzhioeva O.N., Orlov D.O., Reznik E.V. et al. Current principles of decreasing perioperative cardial complications in extracardiac surgical interventions // RMJ. 2018. № 6(I). P. 33–40.