General Surgery

Answer 2 Proceed with the hemithyroidectomy. Hemithyroidectomy is a procedure with intermediate risk.1 The patient has intermediate clinical predictors (eg, diabetes, smoking, prior MI) and moderate functional capacity. No further cardiac evaluation is necessary, and proceeding with hemithyroidectomy is appropriate. REFERENCE 1. Eagle KA, Berger PB, Calkins H, et al. ACC/AHA guideline update for perioperative cardiovascular evaluation for noncardiac surgery—executive summary: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee to Update the 1996 Guidelines on Perioperative Cardiovascular Evaluation for Noncardiac Surgery). Circulation 2002;105:1257-67. Click here to return to the questions

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