Editorial Views  |   November 2018
Preoperative Cardiac Evaluation before Noncardiac Surgery: Reverend Bayes’s Risk Indices and Optimal Variables
Author Notes
  • From the Department of Anesthesiology and Critical Care, Perelman School of Medicine of the University of Pennsylvania, Philadelphia, Pennsylvania.
  • Corresponding article on page 889.
    Corresponding article on page 889.×
  • Accepted for publication July 26, 2018.
    Accepted for publication July 26, 2018.×
  • Address correspondence to Dr. Fleisher: lee.fleisher@uphs.upenn.edu
Article Information
Editorial Views / Cardiovascular Anesthesia
Editorial Views   |   November 2018
Preoperative Cardiac Evaluation before Noncardiac Surgery: Reverend Bayes’s Risk Indices and Optimal Variables
Anesthesiology 11 2018, Vol.129, 867-868. doi:10.1097/ALN.0000000000002422
Anesthesiology 11 2018, Vol.129, 867-868. doi:10.1097/ALN.0000000000002422
THE preoperative evaluation of the patient has been a key function of anesthesiologists. The focus of the evaluation has been on identifying baseline comorbidities that will lead to modification of perioperative care. With respect to specific medical conditions, the evaluation of the patient with cardiac disease was one of the earliest focuses. Risk stratification indices have been published for more than 40 yr since the original paper by Goldman et al.1  in 1977. In this issue of the journal, Glance et al.2  discuss the implications of advocating different risk algorithms on the decision for further diagnostic evaluation and potential interventional strategies.