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