A 72-year-old with prior PCI 2 years ago is scheduled for elective hernia repair. He takes dapagliflozin for HFrEF. Per perioperative CV guideline, ho...

Question

A 72-year-old with prior PCI 2 years ago is scheduled for elective hernia repair. He takes dapagliflozin for HFrEF. Per perioperative CV guideline, how should dapagliflozin be managed?

Accepted Answer

Hold 3-4 days pre-op to reduce ketoacidosis risk

Answer

Continue through surgery

Answer

Hold morning of surgery only

Answer

Stop 7-10 days pre-op

Answer

Switch to insulin pre-op

us-abim MCQ (SBA): Perioperative Medication Management

A 72-year-old with prior PCI 2 years ago is scheduled for elective hernia repair. He takes dapagliflozin for HFrEF. Per perioperative CV guideline, how should dapagliflozin be managed?