Question

A 58-year-old needs noncardiac intermediate-risk surgery. He has poor functional capacity (DASI 20; <4 METs) and RCRI = 2. He denies symptoms. Which preoperative test is appropriate according to current guidance?

Accepted Answer

Noninvasive stress testing to guide management

Answer

Routine coronary angiography

Answer

Transthoracic echo for all preop patients

Answer

CT coronary angiography for screening

Answer

No further testing; proceed to surgery regardless

Practice question

A 58-year-old needs noncardiac intermediate-risk surgery. He has poor functional capacity (DASI 20; <4 METs) and RCRI = 2. He denies symptoms. Which preoperative test is appropriate according to current guidance?