A 72-year-old woman is scheduled for cataract surgery under topical anesthesia. She walks 2 miles daily without chest pain or dyspnea. She has

Question

A 72-year-old woman is scheduled for cataract surgery under topical anesthesia. She walks 2 miles daily without chest pain or dyspnea. She has hypertension controlled with amlodipine. Examination and ECG from last year are normal. Which of the following is the most appropriate management?

Accepted Answer

Proceed to surgery without cardiac testing

Answer

Order coronary CT angiography

Answer

Delay surgery for echocardiography

Answer

Start perioperative beta-blocker the night before surgery

Answer

Order nuclear stress testing

Preoperative evaluation for low-risk surgery — ABIM Board MCQ

A 72-year-old woman is scheduled for cataract surgery under topical anesthesia. She walks 2 miles daily without chest pain or dyspnea. She has hypertension controlled with amlodipine. Examination and ECG from last year are normal. Which of the following is the most appropriate management?