Long Term Cardiovascular Disease Event Risk for Patients Undergoing Major Non-Cardiac Surgery

Summary

The goal of this observational study is to learn whether the healthy lifestyle choices made around surgery can influence an individual's long term risk of developing cardiovascular disease. Patients will be observed 1-month prior to and 3-months following surgery to assess their risk of developing cardiovascular disease.

Eligibility

Inclusion Criteria:

* Age 45 - 75 years
* Scheduled for intermediate- to high risk non-cardiac surgery (intra-thoracic or intra-abdominal surgery, all vascular surgery, intra-cranial neurosurgery, spine surgery)
* Expected post-operative length of stay of at least two days, according to the surgeon's expectation
* At least two of the following CVD risk factors:

History of: Hypertension, Diabetes, Coronary artery disease, Chronic heart failure, Chronic kidney disease, Cerebrovascular disease, Peripheral vascular disease.

Obesity (BMI \>25 kg/m2), Current smoking, Poor exercise capacity (\<4 METS)

Exclusion Criteria:

* Currently participating in a CVD risk reduction program
* Patient is scheduled to undergo transplant or has undergone emergency surgery
* Life expectancy \<1 year (palliative surgery)
* Recent (\<6 months) myocardial infarction or stroke
* Surgery scheduled \<1 month
* Inability to effectively communicate

Conditions3

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