Perioperative management of patients with coronary artery disease undergoing non-cardiac surgery: Summary from the French Society of Anaesthesia and Intensive Care Medicine 2017 convention

Jean-Luc Fellahi (1) , Anne Godier (2) , Deborah Benchetrit (3) , Francis Berthier (4) , Guillaume Besch (5) , Thomas Bochaton (6) , Eric Bonnefoy-Cudraz (6) , Pierre Coriat (3) , Etienne Gayat (7) , Alex Hong (8) , Sophie Jenck (6) , Arthur Le Gall (9, 10, 11) , Dan Longrois (12) , Anne-Céline Martin (13) , Sébastien Pili-Floury (4) , Vincent Piriou (14) , Sophie Provenchère (15) , Bertrand Rozec (16) , Emmanuel Samain (4) , Rémi Schweizer (6) , Valérie Billard (17)

1 CarMeN - Cardiovasculaire, métabolisme, diabétologie et nutrition
2 Fondation Ophtalmologique Adolphe de Rothschild [Paris]
3 CHU Pitié-Salpêtrière [AP-HP]
4 CHRU Besançon - Centre Hospitalier Régional Universitaire de Besançon
5 PCVP / CARDIO - Marqueurs pronostiques et facteurs de régulations des pathologies cardiaques et vasculaires - UFC ( UR 3920)
6 Hôpital Louis Pradel [CHU - HCL]
7 Département d'Anesthésie Réanimation SMUR [Paris]
8 Hôpitaux Universitaire Saint-Louis, Lariboisière, Fernand-Widal
9 M3DISIM - Mathematical and Mechanical Modeling with Data Interaction in Simulations for Medicine
10 LMS - Laboratoire de mécanique des solides
11 Service d'Anesthésie-Réanimation [AP-HP Hôpitaux Saint-Louis Lariboisière]
12 AP-HP - Hôpital Bichat - Claude Bernard [Paris]
13 Hôpital d'instruction des Armées Percy
14 Service d'anesthésie-réanimation [Centre Hospitalier Lyon Sud - HCL]
15 Service d'anesthésie - réanimation chirurgicale [CHU Bichat]
16 ITX - ITX - unité de recherche de l'institut du thorax
17 Département d'anesthésie [Gustave Roussy]

This review summarises the specific stakes of preoperative, intraoperative, and postoperative periods of patients with coronary artery disease undergoing non-cardiac surgery. All practitioners involved in the perioperative management of such high cardiac risk patients should be aware of the modern concepts expected to decrease major adverse cardiac events and improve short- and long-term outcomes. A multidisciplinary approach via a functional heart team including anaesthesiologists, cardiologists and surgeons must be encouraged. Rational and algorithm-guided management of those patients should be known and implemented from preoperative to postoperative period.

Mots clés: Cardiac risk; Perioperative medicine; Coronary artery disease; Non-cardiac surgery; Heart team

Domaines: Cardiologie et système cardiovasculaire

Jean-Luc Fellahi, Anne Godier, Deborah Benchetrit, Francis Berthier, Guillaume Besch, et al.. Perioperative management of patients with coronary artery disease undergoing non-cardiac surgery: Summary from the French Society of Anaesthesia and Intensive Care Medicine 2017 convention. Anaesthesia Critical Care & Pain Medicine, 2018, 37 (4), pp.367 - 374. ⟨10.1016/j.accpm.2018.02.021⟩. ⟨hal-01927277⟩