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2007 ACC/AHA Peri-operative guidelines- Anesthesia’s recommendations TTE, EKG Stress testNO Stress test Caveat #1: if patient has history of CHF (regardless.

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Presentation on theme: "2007 ACC/AHA Peri-operative guidelines- Anesthesia’s recommendations TTE, EKG Stress testNO Stress test Caveat #1: if patient has history of CHF (regardless."— Presentation transcript:

1 2007 ACC/AHA Peri-operative guidelines- Anesthesia’s recommendations TTE, EKG Stress testNO Stress test Caveat #1: if patient has history of CHF (regardless of METs)  needs TTE within 1 year; or if there has been a change in symptoms since last TTE, get new TTE Caveat #2: If the patient has any murmur heard on clinical exam  TTE (to r/o AS)

2 METs

3 Clinical risk factors History of ischemic heart disease History of compensated or prior HF History of cerebrovascular disease Diabetes mellitus Renal insufficiency

4


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