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This article has been peer reviewed. It is the authors' final version prior to publication in Anesthesiology Clinics

Volume 34, Issue 4, December 2016, Pages 659-668.

The published version is available at DOI: 10.1016/j.anclin.2016.06.003. Copyright © W.B. Saunders


Patients with concomitant cardiac and hematologic disorders presenting for noncardiac surgery are challenging. Anemic patients with cardiac disease should be approached in a methodical fashion. Transfusion triggers and target should be based on underlying symptomatology. The approach to anticoagulation management in patients with artificial heart valves, cardiac devices, or severe heart failure in the operative setting must encompass a complete understanding of the rationale of a patient's therapy as well as calculate the risk of changing this regimen. This article focuses common disorders and discusses strategies to optimize care in patients with coexisting cardiac and hematologic disease.

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