Advertisement
Before agreeing to surgery, ask about cardiac risk
Many surgical procedures are very safe. But any type of surgery carries risks along with it.
Advertisement
Cleveland Clinic is a non-profit academic medical center. Advertising on our site helps support our mission. We do not endorse non-Cleveland Clinic products or services. Policy
In particular, doctors and surgeons want to find out about any potential heart or cardiovascular risks that you might have before deciding whether you are a good candidate for any kind of surgery.
Before you have any type of surgical procedure, it’s important to ask questions and to understand the answers to those questions. It’s also important to discuss the reason and urgency for surgery.
Cardiologist Maan Fares, MD, says that you, the patient, are an important part of any treatment. “Patients should consider themselves part of the team that evaluates the risk of any upcoming surgery.”
Associations such as the American College of Cardiology (ACC) and the American Heart Association (AHA) regularly publish and update guidelines that help physicians determine who is at cardiac risk for non-cardiac surgery.
Your primary care physicians can assess your risk factors.
“Most patients who need a surgical procedure should undergo an evaluation by their primary care physician,” he says. “If your doctor finds problems, or knows of an existing heart condition, they should refer the patient to a cardiologist for further investigation.”
In assessing surgical risks, your primary care doctor considers different factors, such as:
Advertisement
Your doctor will perform a physical exam and take notes on the details of your health history. You may also have testing such as a chest X-ray and blood work during this visit.
If there are any concerns about your heart health, your doctor will order an electrocardiogram (ECG). This looks at your heart’s electrical pulses and signals in detail.
Your doctor will ask you about any existing heart disease or about any other type of risk factors you might have. They will also check the results of the ECG. And of course, a physical exam will help uncover any physical abnormalities. These may include a heart murmur, irregular heart rhythm or a weak pulse.
If you have known heart disease such as coronary artery disease (CAD), heart valve disease or congestive heart failure or if you show new signs or symptoms that may suggest heart disease, your doctor should refer you to a cardiologist for further investigation. Your doctor may also talk to you about any medications you’re taking and if they may need to be interrupted.
Finally, anyone over the age of 50 should have an extensive assessment of their medical history and a thorough medical exam. This is because of the increased risk during surgery that comes with age.
“Your pre-operative appointments are very beneficial,” says Dr. Fares. “A pre-surgery evaluation is an ideal opportunity to evaluate the long-term treatment of a patient with significant cardiac disease or risk of disease.”
By asking questions and actively communicating with all members of your treatment team, you become your best health advocate. It’s important to also extend the conversation to your next of kin or family members when having a conversation regarding surgery. Also, you will ensure that you will have the best possible outcome before, during and after any surgical procedures.
Advertisement
Learn more about our editorial process.
Advertisement
Although allulose is an FDA-approved sugar substitute, more research is needed to understand its safety
Studies show those who walk faster tend to have a lower risk of heart disease
Recognizing subtle symptoms, like cold sweats, stomach discomfort and nausea, could be the key to survival
Statin use has been associated with weight gain but the reasons aren’t clear — and the benefits of statins far outweigh the risks
Some statins have been shown to slightly increase your risk of diabetes — but that shouldn’t keep you from taking the medication you need
Research points to an association between the health of your gums and cardiovascular disease
Factors like temperature, energy levels and sleep quality play a role in determining whether working out in the morning or evening is best for you
Lifestyle adjustments can help you raise your HDL, the ‘good’ cholesterol
Focus on your body’s metabolic set point by eating healthy foods, making exercise a part of your routine and reducing stress
PFAS chemicals may make life easier — but they aren’t always so easy on the human body
While there’s little risk in trying this hair care treatment, there isn’t much science to back up the claims