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Haven’t posted in a while and this topic likely discussed in the past but thought this would be a good case for discussion.
85. male. Is a physician. Dm , hld has colon ca without mets. Laparoscopic sigmoid resection. Ct scan shows calcium aorta and coronaries amd has history of nstemi and a normal tte 5 years ago. No other workup. New Stress test done with 3.8 Met on stress test and hr of 115 and no symptoms. Echo has anterior and septal wall motion abnormalities.
patient wants no heart cath and wants surgery.
Thoughts and questions and debate about the preop management?
let’s say you do the case, what helps according to data? What doesn’t? What’s the plan?
85. male. Is a physician. Dm , hld has colon ca without mets. Laparoscopic sigmoid resection. Ct scan shows calcium aorta and coronaries amd has history of nstemi and a normal tte 5 years ago. No other workup. New Stress test done with 3.8 Met on stress test and hr of 115 and no symptoms. Echo has anterior and septal wall motion abnormalities.
patient wants no heart cath and wants surgery.
Thoughts and questions and debate about the preop management?
let’s say you do the case, what helps according to data? What doesn’t? What’s the plan?