Question

A 62-year-old man with well-controlled hypertension is scheduled for elective inguinal hernia repair (intermediate-risk surgery). He has no active cardiac conditions and reports poor functional capacity (<4 METs). Revised Cardiac Risk Index is 0; estimated MACE risk <1%. What is the best next step?

Accepted Answer

Proceed to surgery without additional cardiac testing

Answer

Order stress testing before surgery

Answer

Start high-intensity statin solely for the surgery

Answer

Admit for telemetry 24 hours preoperatively

Answer

Cancel surgery until a coronary CT angiogram is performed

Practice question

A 62-year-old man with well-controlled hypertension is scheduled for elective inguinal hernia repair (intermediate-risk surgery). He has no active cardiac conditions and reports poor functional capacity (<4 METs). Revised Cardiac Risk Index is 0; estimated MACE risk <1%. What is the best next step?