General Surgery

Answer 4 Proceed with surgery without further cardiac evaluation. This patient would be scheduled for an abdominal aortic aneurysm replacement, which is a high-risk procedure.1 He has no clinical predictors and has excellent functional capacity; therefore, proceeding with surgery without further cardiac evaluation 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

Hospital Physician     JCOM     Seminars in Medical Practice Hospital Physician Board Review Manuals About TWC    Subscribe    Contact TWC    Home    Search   Site Map Copyright © 2009, Turner White Communications Updated 1/04/08 • kkj