Chart 2.

Severe cardiovascular conditions in the perioperative period

Acute coronary syndrome

Unstable diseases of the thoracic aorta

Acute pulmonary edema

Cardiogenic shock

Heart failure NYHA functional class III/IV*

Angina CCS functional class III/IV*

Severe bradyarrhythmias or tachyarrhythmias (third degree AV block, VT)

Uncontrolled systemic hypertension (BP > 180 × 110 mmHg)

Atrial fibrillation with high ventricular rate (HR > 120 bpm)

Symptomatic pulmonary arterial hypertension

^*Patients with these conditions who are stable and whose treatment was already optimized should have the risk-benefit ratio of the surgical intervention analyzed due to the risk of complications. NYHA: New York Heart Association; CCS: Canadian Cardiovascular Society; BP: blood pressure; HR: heart rate; AV: atrioventricular; VT: ventricular tachycardia