Preop cardiology Flashcards

1
Q

Small ischemia on stress pre-vascular surgery

A

No benefit of revasc on top of BB and ASA with stable coronary dz

Survival if >10% myocardium ischemic (this is regardless of planned surgery)

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2
Q

> 4 mets in history

A

ie golfing
vacuuming
2 flights stairs
REVASC/CATH not indicated

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3
Q

Non invasive preop testing

A

patients who have poor fxn status or status can’t be assessed (ie hip replacement can’t walk)

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4
Q

High risk pre-op conditions

A

Recent (<30days) or active MI
unstable severe angina CCS III/IV
decompensated HF NYHA IV or new onset HF
Severe symptomatic AS or valvular lesion - mean aortic gradient >40mm Hg, AVA<1.0
Arrythmias - high grade AVB, sympt ventricular arrythmia, SVT HR>100, Sx brady, new VT

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