Non-invasive services

Pre-operative Cardiac Assessment

Assessment of cardiovascular risk before non-cardiac surgery.

Medical pre-operative assessment
Understanding the service

What is it and what is its purpose?

Pre-operative assessment considers the risk of the planned surgery, active cardiac problems, functional capacity and other conditions. It aims to allow surgery to proceed safely, without unnecessary delays or investigations.

The purpose goes beyond providing a certificate: it identifies active cardiac problems, estimates the risk of the particular operation and plans safe medication management, especially anticoagulants and antiplatelets.

How it is performed

  1. 01

    Review of the type and urgency of the proposed surgery.

  2. 02

    Assessment of symptoms, functional capacity and recent investigations.

  3. 03

    Clear advice on further tests and medication only when they would change management.

The patient experience

What to expect, step by step

Understanding the procedure helps you arrive better prepared and with greater confidence.

Medical pre-operative assessment
Assessment combines surgical risk with functional capacity, active symptoms and other medical conditions.
01

On the day of your investigation or treatment

The type and urgency of surgery, functional capacity, symptoms, history and all medication are reviewed. Examination and ECG follow, with additional tests requested only if likely to change peri-operative management.

BEFORE

Preparation

Details of the surgery, anaesthesia, date and all treatments are needed, particularly anticoagulants and antiplatelets.

AFTER

The first few hours

There is no recovery time. A report provides clear conclusions about cardiovascular risk, medication and any additional monitoring during or after surgery.

RETURN

Back to everyday life

You continue daily life and prepare for surgery according to the surgical and anaesthetic teams' instructions. Do not stop any anticoagulant, antiplatelet or other cardiac medicine without a specific coordinated plan.

Important

Cardiology assessment does not replace anaesthetic assessment, and not every operation requires the same investigations. Your treating team's individual instructions always take priority over the general information on this page.

Frequently asked questions

Practical answers before your appointment

Will it hurt?

Most non-invasive investigations are painless. You may feel only mild pressure from the ultrasound probe, blood pressure cuff or adhesive electrodes.

Should I stop my medication?

Not without specific medical instructions. Anticoagulants, antiarrhythmics, diabetes medicines and other treatments may require special management, tailored to each patient and procedure.

When will I know the result?

Some results are available immediately, while recordings such as Holter or ambulatory blood pressure monitoring require full analysis. The results and next steps will be discussed at the agreed time.

When is urgent help needed?

New severe chest pain, severe breathlessness, fainting or persistent neurological symptoms require an immediate call to 112. Do not report these through the contact form.

Information sources

Based on reliable patient information

The content has been adapted for patients and clinical practice. It is not individual medical advice.

Individual assessment

Discuss whether this service is right for you.

Assessment by Dimitrios Gerontitis, cardiologist and arrhythmia specialist, in Chalkida or Marousi, Athens (IASO). View practice telephone numbers and addresses.

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