Accurate diagnosis of heart failure and improved perioperative outcomes

Benjamin Deniau; Valentine Léopold; Alexandre Mebazaa

doi:10.1016/j.bja.2024.10.003

Accurate diagnosis of heart failure and improved perioperative outcomes

Br J Anaesth. 2025 Jan;134(1):1-4. doi: 10.1016/j.bja.2024.10.003. Epub 2024 Oct 31.

Authors

Benjamin Deniau¹, Valentine Léopold², Alexandre Mebazaa³

Affiliations

¹ Department of Anesthesiology, Critical Care and Burn Unit, University Saint-Louis-Lariboisière Hospital, AP-HP, Paris, France; Université de Paris Cité, Paris, France; INSERM UMR-S 942, Cardiovascular Markers in Stress Condition (MASCOT), Université de Paris Cité, Paris, France; Fédération Hopsitalo-Universitaire (FHU) Precision Medicine for a Comprehensive Care of Critically ill patients, Université de Paris Cité, Paris, France; Cardiovascular and Renal Clinical Trialists, Nancy, France. Electronic address: [email protected].
² Department of Anesthesiology, Critical Care and Burn Unit, University Saint-Louis-Lariboisière Hospital, AP-HP, Paris, France; Université de Paris Cité, Paris, France; INSERM UMR-S 942, Cardiovascular Markers in Stress Condition (MASCOT), Université de Paris Cité, Paris, France; Fédération Hopsitalo-Universitaire (FHU) Precision Medicine for a Comprehensive Care of Critically ill patients, Université de Paris Cité, Paris, France.
³ Department of Anesthesiology, Critical Care and Burn Unit, University Saint-Louis-Lariboisière Hospital, AP-HP, Paris, France; Université de Paris Cité, Paris, France; INSERM UMR-S 942, Cardiovascular Markers in Stress Condition (MASCOT), Université de Paris Cité, Paris, France; Fédération Hopsitalo-Universitaire (FHU) Precision Medicine for a Comprehensive Care of Critically ill patients, Université de Paris Cité, Paris, France; Cardiovascular and Renal Clinical Trialists, Nancy, France.

PMID: 39750001
DOI: 10.1016/j.bja.2024.10.003

Abstract

With an ageing world population and increasing prevalence, heart failure is increasingly frequent as a comorbidity in operative patients, and its accurate preoperative diagnosis is essential to improve postoperative prognosis in patients undergoing noncardiac surgery. Use of electronic health records to assist in the accuracy of diagnosis and definition of an adjudicated heart failure reference standard could help guide intraoperative practice and improve outcomes in patients with heart failure.

Keywords: diagnostic accuracy; heart failure; noncardiac surgery; perioperative management; postoperative outcomes.

Publication types

Editorial

MeSH terms

Electronic Health Records
Heart Failure* / diagnosis
Humans
Perioperative Care / methods
Postoperative Complications / diagnosis