Question

A 70-year-old with symptomatic carotid stenosis (70%) after TIA is scheduled for endarterectomy. Perioperative cardiac risk evaluation per latest guideline emphasizes which principle?

Accepted Answer

Use a stepwise approach; test only if results change management

Answer

Routine coronary angiography is required

Answer

Proceed without evaluation regardless of symptoms

Answer

All patients need stress testing

Answer

Delay surgery for 6 months in all with CAD

Practice question

A 70-year-old with symptomatic carotid stenosis (70%) after TIA is scheduled for endarterectomy. Perioperative cardiac risk evaluation per latest guideline emphasizes which principle?