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THE IMPORTANCE OF THE DIASTOLIC DYSFUNCTION IN THE CARDIOVASCULAR RISK STRATIFICATION OF NON-CARDIAC SURGICAL INTERVENTION

The article is an overview of foreign data on the evaluation of diastolic function disorders as a predictor of cardiovascular complications in non-cardiac surgical interventions. This problem is of significant practical interest, since in modern recommendations on the stratification of cardiac risk of perioperative complications, diastolic dysfunction is not identified as a negative prognostic factor. Although current guidelines on perioperative assessment of cardiovascular risks in extracardiac surgery do not evaluate diastolic dysfunction as a risk factor, more and more data indicate a higher incidence of serious adverse cardiac events, a longer hospital stay in patients with diastolic CHF. The article presents modern evidence supporting the need to include diastolic dysfunction in the risk stratification of non-cardiac surgical interventions.