OVERVIEW

Perioperative Cardiac Risk Assessment is organized by Society of Hospital Medicine (SHM).

Dates:
Release Date: Jan 04, 2019
Expiration Date: Jan 04, 2022

Accreditation:
The Society of Hospital Medicine designates this activity for a maximum of 2 AMA PRA Category 1 CreditsTM / 2.00 ABIM MOC Self Evaluation Points

Overview
Perioperative cardiac complications are the most widely feared medical issues for the anesthesiologist, surgeon, and medical consultant as they approach a patient with the option of surgery. To assess for the preoperative cardiac risk, hospitalists should follow a step-wise algorithm. The following module reviews the risk assessment process and enables the hospitalist to order appropriate preoperative testing.

Learning Objectives:
After completing the module, the participant should be able to:
• Tailor the perioperative evaluation based on the urgency of the procedure.
• Determine if there are red flag issues that may necessitate delaying nonemergent surgery.
• Estimate the combined clinical/surgical risk based on validated models.
• Determine functional status using metabolic equivalents.
• Assess the appropriate uses for cardiac stress testing and coronary revascularization.
• Evaluate the role of perioperative biomarkers for cardiac risk assessment.