Question

A 64-year-old scheduled for elective abdominal surgery has poor functional capacity (<4 METs) and RCRI 2. According to the new perioperative guideline, which is the best approach?

Accepted Answer

Order routine coronary angiography

Answer

Perform noninvasive cardiac testing only if results would change management or delay/deferral is considered

Answer

Start prophylactic beta-blocker day of surgery in all patients

Answer

Cancel surgery until after coronary CT angiography in all RCRI ≥2

Answer

The best approach is to perform noninvasive cardiac testing only if results would change management or delay/deferral is considered.

Practice question

A 64-year-old scheduled for elective abdominal surgery has poor functional capacity (<4 METs) and RCRI 2. According to the new perioperative guideline, which is the best approach?