In this episode, Josephine and Manuela explore the anesthetic considerations for patients with coronary artery disease (CAD) undergoing non-cardiac surgery. From coronary physiology and myocardial oxygen supply-demand balance to acute coronary syndromes, perioperative risk assessment and intraoperative management, they break down the key concepts every medical student should know.

Whether you’re preparing for your anesthesia rotation or looking for a practical framework for managing patients with CAD in the perioperative setting, this episode is packed with clinically relevant pearls and a case that brings everything together.

Episode Resources

Canadian Cardiovascular Society Guidelines on Perioperative Cardiac Risk Assessment and Management for Patients Who Undergo Noncardiac Surgery

2024 AHA/ACC/ACS/ASNC/HRS/SCA/SCCT/SCMR/SVM Guideline for Perioperative Cardiovascular Management for Noncardiac Surgery: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines

American College of Surgeons NSQIP calculator

Regional anesthesia in the patient receiving antithrombotic or thrombolytic therapy: American Society of Regional Anesthesia and Pain Medicine Evidence-Based Guidelines

Credits

– Writer: Josephine Ding

– Editors: Manuela Morgan

– Resident Editor: Dr. Bradley Murphy and Dr. Sanjum Hunjan

– Staff Reviewer: Dr. Joshua Peachey

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