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In this episode, we review pre-operative cardiovascular risk stratification for noncardiac surgery. What is considered a low-risk surgery? What does "risk" refer too–risk of what? How are emergent surgery, urgent surgery, time-sensitive surgery, and elective surgery defined? How does functional capacity factor into decisions about preoperative testing? What are the cardinal steps for determining whether additional cardiac testing is needed pre-operatively? When is it appropriate to get a pre-operative echocardiogram, stress test, coronary CTA, or cardiac catheterization? How long must dual antiplatelet therapy (DAPT) be continued for a drug-eluting stent implanted for a presentation of acute coronary syndrome versus a drug-eluting stent implanted electively? When is the earliest where it is appropriate to interrupt DAPT? What are the new recommendations on holding anticoagulation, beta-blockers, RAAS inhibitors, SGLT2 inhibitors, and statins pre-operatively? Tune in for answers to these questions.
Difficulty Level: Easy
You are listening to Hu Said: Cardiology Board Review Series (2024-2025 Season)
Please subscribe, rate, and support the channel! Ads help keep materials free for everyone.
More MedEd resources available at www.rueyhu.com
Updates at Twitter/X: @Ruey_Hu
By Ruey Hu, MD, MPH4.5
1515 ratings
In this episode, we review pre-operative cardiovascular risk stratification for noncardiac surgery. What is considered a low-risk surgery? What does "risk" refer too–risk of what? How are emergent surgery, urgent surgery, time-sensitive surgery, and elective surgery defined? How does functional capacity factor into decisions about preoperative testing? What are the cardinal steps for determining whether additional cardiac testing is needed pre-operatively? When is it appropriate to get a pre-operative echocardiogram, stress test, coronary CTA, or cardiac catheterization? How long must dual antiplatelet therapy (DAPT) be continued for a drug-eluting stent implanted for a presentation of acute coronary syndrome versus a drug-eluting stent implanted electively? When is the earliest where it is appropriate to interrupt DAPT? What are the new recommendations on holding anticoagulation, beta-blockers, RAAS inhibitors, SGLT2 inhibitors, and statins pre-operatively? Tune in for answers to these questions.
Difficulty Level: Easy
You are listening to Hu Said: Cardiology Board Review Series (2024-2025 Season)
Please subscribe, rate, and support the channel! Ads help keep materials free for everyone.
More MedEd resources available at www.rueyhu.com
Updates at Twitter/X: @Ruey_Hu

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