Podcast
Questions and Answers
What are the goals of cardiovascular assessment?
What are the goals of cardiovascular assessment?
- Identify risk factors, symptoms, and physical exam findings (correct)
- Modify the risk of perioperative cardiac events and preoperative treatment options
- Determine the need for further preoperative testing and postoperative care
- Identify the type of surgery, diagnostic testing, and preoperative interventions
Which factor is NOT included in the Cardiac Risk Index for predicting complications?
Which factor is NOT included in the Cardiac Risk Index for predicting complications?
- High-risk type of surgery
- Preoperative treatment with insulin
- Postoperative serum creatinine >2.0 mg/dL (correct)
- Previous history of congestive heart failure
What percentage of all perioperative deaths are accounted for by cardiovascular disease?
What percentage of all perioperative deaths are accounted for by cardiovascular disease?
- 100%
- 75%
- 25%
- 50% (correct)
Which statement about hypertension (HTN) is true?
Which statement about hypertension (HTN) is true?
What is the most common form of end organ damage associated with hypertension?
What is the most common form of end organ damage associated with hypertension?
How does a 20mmHg increase in SBP correlate with cardiovascular disease risk?
How does a 20mmHg increase in SBP correlate with cardiovascular disease risk?
What proportion of patients undergoing major surgery experience serious myocardial injury?
What proportion of patients undergoing major surgery experience serious myocardial injury?
'Sometimes, surgery is necessary and we don’t have time for a huge workup' - Why might this be a challenge in clinical decision-making?
'Sometimes, surgery is necessary and we don’t have time for a huge workup' - Why might this be a challenge in clinical decision-making?
Which exercise tolerance level is associated with increased perioperative risk?
Which exercise tolerance level is associated with increased perioperative risk?
What does the Duke Activity Status Index (DASI) help to identify in patients?
What does the Duke Activity Status Index (DASI) help to identify in patients?
What is considered a 'positive' result in Exercise EKG testing?
What is considered a 'positive' result in Exercise EKG testing?
Which cardiac testing method provides information about coronary perfusion and has greater sensitivity than exercise stress?
Which cardiac testing method provides information about coronary perfusion and has greater sensitivity than exercise stress?
What percentage of MIs occur without symptoms according to the text?
What percentage of MIs occur without symptoms according to the text?
What does the text suggest is NOT possible to predict about coronary plaque?
What does the text suggest is NOT possible to predict about coronary plaque?
'Moving Beyond METS' refers to which index that helps evaluate patients' exercise capacity?
'Moving Beyond METS' refers to which index that helps evaluate patients' exercise capacity?
'Almost two thirds of patients describe new-onset angina pectoris or a change in their angina pattern during the 30 days preceding an acute MI.' This statement implies that:
'Almost two thirds of patients describe new-onset angina pectoris or a change in their angina pattern during the 30 days preceding an acute MI.' This statement implies that:
'Likelihood of serious adverse events inversely related to number of blocks a patient can walk.' This implies that:
'Likelihood of serious adverse events inversely related to number of blocks a patient can walk.' This implies that:
What is the most significant independent predictor of stent thrombosis?
What is the most significant independent predictor of stent thrombosis?
How long should a patient wait before undergoing elective surgery after receiving a bare metal stent?
How long should a patient wait before undergoing elective surgery after receiving a bare metal stent?
Which of the following is NOT a preoperative predictor of myocardial infarction?
Which of the following is NOT a preoperative predictor of myocardial infarction?
What is the major cause of heart failure associated with systolic dysfunction?
What is the major cause of heart failure associated with systolic dysfunction?
What does BNP stand for in the context of heart failure assessment?
What does BNP stand for in the context of heart failure assessment?
Why is elective surgery contraindicated in the presence of acute heart failure?
Why is elective surgery contraindicated in the presence of acute heart failure?
'DAPT' in the context of stents stands for:
'DAPT' in the context of stents stands for:
'DES' is an abbreviation for:
'DES' is an abbreviation for:
'EF' in relation to heart failure refers to:
'EF' in relation to heart failure refers to:
What does 'PCI' stand for regarding heart treatment options?
What does 'PCI' stand for regarding heart treatment options?
What is the recommended action for elective surgery in patients with hypertension?
What is the recommended action for elective surgery in patients with hypertension?
Which demographic is identified as having the highest risk for heart disease in the text?
Which demographic is identified as having the highest risk for heart disease in the text?
Which condition is characterized by angina at rest or an increase in severity/frequency without elevated cardiac biomarkers?
Which condition is characterized by angina at rest or an increase in severity/frequency without elevated cardiac biomarkers?
Which of these symptoms may indicate cardiovascular risk in a patient's history?
Which of these symptoms may indicate cardiovascular risk in a patient's history?
What are two common comorbidities mentioned in the text as risk factors for heart disease?
What are two common comorbidities mentioned in the text as risk factors for heart disease?
What should patients in general do regarding their anti-hypertensive medications before surgery?
What should patients in general do regarding their anti-hypertensive medications before surgery?
Which medication type does the text suggest holding before surgery despite historical advice?
Which medication type does the text suggest holding before surgery despite historical advice?
'DOE, orthopnea?' are questions aimed at determining what aspect of a patient's condition?
'DOE, orthopnea?' are questions aimed at determining what aspect of a patient's condition?
'Chest pain that does not change appreciably in frequency or severity over 2 months or longer' describes which type of angina?
'Chest pain that does not change appreciably in frequency or severity over 2 months or longer' describes which type of angina?
'Heart Disease' accounts for what percentage of patients in the operating room according to the text?
'Heart Disease' accounts for what percentage of patients in the operating room according to the text?
