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医学发展和人口老龄化导致目前接受非心脏手术的高龄和心脏病患者日益增多。而心血管并发症是非心脏手术后的主要并发症。术后心血管并发症发病率高危害大，是围术期并发症和病死率增加的重要原因，直接决定了手术的成败。因而对心血管风险进行准确评估和预测，减少术后心血管并发症，降低手术风险并改善患者预后，是当前医学领域的重要研究课题。通过研究发现了风险独立预测因子并构建评估体系，一些全新的高敏生化指标及无创检测也展示出良好的预测价值和应用前景。“,”With the development of medicine and aging of population ,the number of elderly patients with heart disease undergoing noncardiac surgeries is on the rise.The cardiovascular complications are the main complications after noncardiac surgeries.The high morbidity of cardiovascular complications after surgery can cause serious harm to patients and directly determine the success of surgery .Therefore evaluating and predic-ting the cardiovascular risk accurately to reduce the postoperative complications and decline the risk of sur-gery and improve the prognosis is an important topic of the current medicine research.The independent pre-dictors were found and the risk assessment system was built through the study.Some new high sensitive bio-chemical indexes and noninvasive test also showed good prediction value and application prospect .