Heart failure is among the greatest risk factors for adverse events after noncardiac surgery, and is independently associated with major complications longer postoperative hospital stays, more frequent readmissions, and higher postoperative mortality. Despite advances in heart failure therapies, timely and accurate diagnosis of heart failure remains challenged by the heterogeneity of clinical presentations and course of the disease. Among studies of hospitalised patients and outpatients, 25–40% of patients with sufficient electronic health record documentation to define heart failure do not have an established diagnosis of heart failure.

Taken together, these studies suggest that an accurate preoperative diagnosis of heart failure – if leading to improved perioperative management and earlier initiation of guideline-directed medical therapies proven to reduce mortality – potentially carries substantial public health impact for the more than 300 million noncardiac surgical procedures performed annually worldwide.

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Mishita
Jornal co-ordinator
Journal of Heart and Cardiovascular Research