Question

A 58-year-old with poor functional capacity (<4 METs) is scheduled for intermediate-risk noncardiac surgery. He has no active cardiac conditions and recent evaluation shows good blood pressure control. What is the best step regarding stress testing per ACC/AHA guidance?

Accepted Answer

No pre-op stress testing because results will not change management

Answer

Order pharmacologic stress testing to screen for occult CAD

Answer

Order coronary CTA for all intermediate-risk cases

Answer

Delay surgery for invasive coronary angiography

Answer

Add aspirin perioperatively for primary prevention

Practice question

A 58-year-old with poor functional capacity (<4 METs) is scheduled for intermediate-risk noncardiac surgery. He has no active cardiac conditions and recent evaluation shows good blood pressure control. What is the best step regarding stress testing per ACC/AHA guidance?