CV risk factors: HTN, smoking, high cholesterol, diabetes, women age >65; men age >55; obesity; family history of premature CAD
Elevated risk based on validated tools is RCRI ≥ 2
RCRI ≥ 2 is considered ‘elevated risk’
Definitions of Surgical Timing
Definitions of Surgical Risk
Medication Management
SGLT2i should be discontinued 3 to 4 days before surgery to minimize the risk of perioperative ketoacidosis associated with their use.
Myocardial Injury after Non-cardiac surgery (MINS)
⚠️ Do NOT ignore b/c it portends real consequences for affected patients
Peri-operative AFib
These patients should be followed closely after surgery to treat reversible causes of arrhythmia and to assess the need for rhythm control and long-term anticoagulation.
