Comprehensive Perioperative Anesthesia Management for Heart Failure Patients Undergoing Noncardiac Surgery: A Guideline-Based Review

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Published Jul 15, 2025
Page: 840-850
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Vol. 8 No. 04 (2025): International Journal of Medical Science in clinical Research & Review

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Dr. Yasmin Ali Alissa1, Dr. Basem Adnan Baradie2, Dr. Sahar Hameed Rasheed Alani3, Dr. Hany Fawzi W. Greiss4, Dr. Osama Sami Maki Al Ani5
1Specialist Anesthesiologist, Rashid Hospital, Department of Anesthesia, Dubai, UAE 2Consultant Cardiologist, Al-Qassimi Hospital Heart Center, Sharjah, UAE 3Specialist Anesthesiologist, Rashid Hospital, Department of Anesthesia, Dubai, UAE 4,5Consultant Anesthesiologist, Rashid Hospital, Department of Anesthesia, Dubai, UAE

Abstract

Background: Heart failure (HF) patients are at significantly higher risk during noncardiac surgery, with mortality rates topping 10%. This review consolidates evidence-based strategies to optimize perioperative outcomes. Methods: We synthesized literature from major guidelines (ASA, ESAIC, AHA/ACC 2024, ESC 2022), UpToDate, core textbooks (Barash, Miller, Morgan & Mikhail), and pivotal trials (e.g., DECREASE, POISE-3). Results: Critical themes emerged: preoperative risk stratification (using BNP/NT-proBNP, echo), intraoperative hemodynamic precision (goal-directed fluids, advanced monitoring), and postoperative vigilance (early extubation, biomarker tracking). Crucially, continuing guideline-directed medical therapy (GDMT) is non-negotiable. Conclusion: Multidisciplinary, guideline-driven care slashes complications.


 


Keywords: Heart failure (HF), noncardiac surgery, Perioperative Anesthesia

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How to Cite
Dr. Yasmin Ali Alissa1, Dr. Basem Adnan Baradie2, Dr. Sahar Hameed Rasheed Alani3, Dr. Hany Fawzi W. Greiss4, Dr. Osama Sami Maki Al Ani5. (2025). Comprehensive Perioperative Anesthesia Management for Heart Failure Patients Undergoing Noncardiac Surgery: A Guideline-Based Review. International Journal of Medical Science in Clinical Research & Review, 8(04), Page: 840–850. Retrieved from https://ijmscrr.in/index.php/ijmscrr/article/view/1128