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Questions and Answers
Drug-eluting stents must wait at least 6 months before elective surgery.
Drug-eluting stents must wait at least 6 months before elective surgery.
True (A)
Bare metal stents need to wait at least 30 days before elective surgery.
Bare metal stents need to wait at least 30 days before elective surgery.
True (A)
Heparin bridging is a recommended strategy for patients with stents before elective surgery.
Heparin bridging is a recommended strategy for patients with stents before elective surgery.
False (B)
Clopidogrel discontinuation has no impact on the occurrence of stent thrombosis.
Clopidogrel discontinuation has no impact on the occurrence of stent thrombosis.
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Dual antiplatelet therapy is only considered for patients with drug-eluting stents.
Dual antiplatelet therapy is only considered for patients with drug-eluting stents.
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Elective surgery in the presence of acute heart failure is usually recommended.
Elective surgery in the presence of acute heart failure is usually recommended.
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The Duke Activity Status Index (DASI) is primarily used to predict the risk of a stroke.
The Duke Activity Status Index (DASI) is primarily used to predict the risk of a stroke.
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A positive exercise EKG result is defined as >2 mm of ST-segment elevation during or after exercise.
A positive exercise EKG result is defined as >2 mm of ST-segment elevation during or after exercise.
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Nuclear stress testing is less sensitive than exercise stress testing in detecting coronary perfusion issues.
Nuclear stress testing is less sensitive than exercise stress testing in detecting coronary perfusion issues.
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A calcium CT scan provides better information about the condition of the coronaries compared to a nuclear stress test.
A calcium CT scan provides better information about the condition of the coronaries compared to a nuclear stress test.
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There is a diagnostic test that can accurately predict the stability of coronary plaque.
There is a diagnostic test that can accurately predict the stability of coronary plaque.
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Patients undergoing elective surgery should always have their blood pressure controlled to SBP >200 mmHg and DBP >115 mmHg.
Patients undergoing elective surgery should always have their blood pressure controlled to SBP >200 mmHg and DBP >115 mmHg.
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According to recent studies, it is recommended to continue ACE-I and ARB medications in patients undergoing surgery.
According to recent studies, it is recommended to continue ACE-I and ARB medications in patients undergoing surgery.
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Chronic stable angina typically presents with chest pain that changes in frequency or severity over a period of 2 months.
Chronic stable angina typically presents with chest pain that changes in frequency or severity over a period of 2 months.
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Unstable angina can be defined as angina at rest or an increase in severity without an increase in levels of cardiac biomarkers.
Unstable angina can be defined as angina at rest or an increase in severity without an increase in levels of cardiac biomarkers.
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One of the key determinants of perioperative risk is assessing exercise tolerance by determining a patient's Duke Activity Status Index.
One of the key determinants of perioperative risk is assessing exercise tolerance by determining a patient's Duke Activity Status Index.
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Nuclear stress testing is not useful in assessing cardiac risk factors in patients undergoing elective surgery.
Nuclear stress testing is not useful in assessing cardiac risk factors in patients undergoing elective surgery.
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