General Surgery

Answer 3 Exercise stress testing. This patient is scheduled for a total colectomy and ileoproctostomy, which is an intermediate-risk procedure.1 The patientıs functional capacity is undetermined, and he may benefit from further cardiac evaluation. Exercise stress testing is an appropriate management option for this patient. REFERENCE 1. Eagle KA, Berger PB, Calkins H, et al. ACC/AHA guideline update for perioperative cardiovascular evaluation for noncardiac surgery—executive summary: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee to Update the 1996 Guidelines on Perioperative Cardiovascular Evaluation for Noncardiac Surgery). Circulation 2002;105:1257-67. Click here to return to the questions

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