Perioperative medicine & outcomes
Echocardiography before non-cardiac surgery: current knowledge, guideline recommendations, and clinical evidence – a narrative review
Authors' conclusion
In this review we could detect several knowledge gaps concerning the yield and impact on management and outcome of preoperative TTE in non-cardiac surgery patients.
Study context
- Population
- Patients undergoing non-cardiac surgery evaluated with preoperative transthoracic echocardiography (TTE) at rest
Main finding
As reported in the abstract
- Studies on effectiveness of preoperative TTE are limited; TTE before non-cardiac surgery can detect new diagnoses in a relevant proportion of patients
- Data on TTE-driven management changes are scarce
- Evidence on outcome benefits of preoperative TTE is not conclusive
- AHA/American College of Cardiologists and European Society of Cardiology both favour TTE in symptomatic patients and do not recommend routine TTE; several differences remain
Original publication
Echocardiography before non-cardiac surgery: current knowledge, guideline recommendations, and clinical evidence – a narrative review. J Clin Monit Comput. Published 18 June 2026. doi:10.
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