A 70-year-old with active chest pain at rest and dynamic ST depressions is scheduled for elective abdominal aortic aneurysm repair in 2 days. Which pe...

Question

A 70-year-old with active chest pain at rest and dynamic ST depressions is scheduled for elective abdominal aortic aneurysm repair in 2 days. Which perioperative step is most appropriate?

Accepted Answer

Defer the noncardiac surgery to evaluate and treat the active cardiac condition

Answer

Proceed to surgery with intraoperative beta-blockade started on the day of surgery

Answer

Order routine coronary angiography solely to ''clear'' him for surgery

Answer

Perform dobutamine stress echo tomorrow and proceed regardless of result

Answer

Start aspirin and proceed; symptoms will declare themselves intraoperatively

us-abim MCQ (SBA): Perioperative Cardiac Risk

A 70-year-old with active chest pain at rest and dynamic ST depressions is scheduled for elective abdominal aortic aneurysm repair in 2 days. Which perioperative step is most appropriate?