Miscellaneous - Preoperative risk assessment

Question 1

Patient-related and Surgery-related factors that could affect preoperative risk assessment

Answer 1

Question 2

Emergency vs Urgent Procedure

Answer 2

Question 2

if without coronary intervention, how many days should elapse before undergoing noncardiac surgery after MI.

Answer 2

≥60 days

Question 2

Procedure-specific risk: surgical risk estimate according to type of surgery or intervention

Answer 2

Question 3

Consideration in pt with Restrictive Cardiomyopathy undergoing noncardiac surgery

Answer 3

preload and HR dependence in CO

Question 4

Consideration in pt with Hypertrophic Cardiomyopathy undergoing noncardiac surgery

Answer 4

avoid arterial vasodilator, volume loss or reduction in preload

Question 5

for severe valvular stenosis (asymptomatic)

Answer 5

• avoid hypotension and tachycardia
• intraoperative and postoperative hemodynamic monitoring

*** for favorable valve, PMBC for severe MS

Question 5

Arrhythmias that can increase operative risk

Answer 5

• symptomatic/associated with hemodynamic compromise PVC and NSVT or associated with ssignificant structural heart disease or inherited electrical disorders
• High grade AV block

Question 6

Low risk vs High risk cut off based on RCRI

Answer 6

0-1 point - low risk
≥2 - high risk

Question 7

Classification of functional capacity

Answer 7

<4 -> poor

Question 8

question?

Answer 8

D

Question 9

Question?

Answer 9

D