Evidence map›Paper›PMID 40822368›Full record

ReviewMethodist DeBakey cardiovascular journal2025

Preoperative Diagnostic Assessment of Patients with Cardiovascular Risk Factors Undergoing Noncardiac Surgery: A 2025 Update.

Nikitha M Murthy, Thomas T Yoo, Alyssa Sanchez, Mayur Chhitu, Dmitry Abramov, Jason Gatling, Mamas A Mamas, Purvi Parwani

Abstract readReview
In one paragraph

Review in Methodist DeBakey cardiovascular journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Guideline
  2. Article
  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Nikitha M MurthyLoma Linda University Health, Loma Linda, California, US.ORCID https://orcid.org/0009-0003-4198-6515
Thomas T YooLoma Linda University Health, Loma Linda, California, US.ORCID https://orcid.org/0009-0002-0399-826X
Alyssa SanchezLoma Linda University Health, Loma Linda, California, US.ORCID https://orcid.org/0009-0008-1243-0370
Mayur ChhituUniversity of California Riverside, Riverside, California, US.ORCID https://orcid.org/0009-0005-5085-7728
Dmitry AbramovLoma Linda University Health, Loma Linda, California, US.ORCID https://orcid.org/0000-0003-0571-3109
Jason GatlingLoma Linda University Health, Loma Linda, California, US.ORCID https://orcid.org/0009-0001-4094-3658
Mamas A MamasKeele Cardiovascular Research Group, Keele University, Keele, UK.ORCID https://orcid.org/0000-0001-9241-8890
Purvi ParwaniLoma Linda University Health, Loma Linda, California, US.ORCID https://orcid.org/0000-0002-4707-992X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Despite medical advances and increased perioperative testing, mortality and cardiovascular complications of noncardiac surgery (NCS) have hardly declined since the early 2000s. Studies demonstrate a disproportionate overutilization of preoperative diagnostic testing with a concurrent underutilization of interventions that have been shown to meaningfully modify mortality. Consequently, there has been a paradigm shift in the approach to perioperative testing. Current thinking advocates for a more judicious and individualized approach-that is, reserving noninvasive testing for select cases at highest risk of periprocedural cardiovascular events, where it may more effectively alter management. Thus, this review provides an update of the latest evidence-based recommendations on preoperative diagnostic assessment of patients with cardiovascular risk factors undergoing NCS, proposes a framework that can be referenced when approaching such a patient in clinical practice, and highlights areas that need more data to guide decision-making in clinical practice.

Indexed as

Cardiovascular DiseasesPreoperative CareSurgical Procedures, OperativeClinical Decision-MakingHeart Disease Risk FactorsHumansPredictive Value of TestsPrognosisRisk AssessmentRisk FactorsTreatment Outcomenoncardiac surgeryperioperative testingpreoperative assessmentrisk calculator

Identifiers

PMID40822368
PMCPMC12352404

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.