The American College of Cardiology (ACC) and the American Heart Association (AHA) publ ished pre-operative risk stratification guidelines in 2014. These guidelines have routinely been used by physicians to pre-operatively risk stratify patients. In this case report, a patient was found to have multi-vessel coronary artery disease post-operatively in the setting of unremarkable cardiac work-up preoperatively. This case highlights a limitation of the 2014 ACC/AHA guidelines.
Ho, MD, Rady; Kanzaria, MD, Mitul; and Walinsky, MD, Paul
"Limitations of the Perioperative Cardiovascular Evaluation for Assessing Coronary Artery Disease: A Case Report,"
The Medicine Forum:
Vol. 17, Article 7.
Available at: http://jdc.jefferson.edu/tmf/vol17/iss1/7