Lesson 2
1. Perioperative
Cardiac Morbidity (PCM)
Perioperative Cardiac Morbidity (PCM). What's that?
Why more initials? When we started studying cardiac risk we needed
to do epidemiologic studies to identify who was at risk. To make
the studies large enough to have statistically significant results,
we grouped all the cardiac outcomes together to get larger numbers.
We can all agree that cardiac death, myocardial infarction, unstable
angina, heart failure, and life-threatening dysrhythmias, primarily
ventricular tachycardia and ventricular fibrillation are bad. Perioperative
cardiac morbidity includes all these cardiac events. It is the goal
of BBAC to reduce perioperative cardiac morbidity.
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