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.
- Proceed with surgery without further cardiac evaluation.
1. Eagle KA, Berger PB, Calkins H, et al. ACC/AHA guideline update for perioperative cardiovascular evaluation for noncardiac surgeryexecutive 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.
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