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EVALUATION of CLINICAL PRIVILEGES CARDIOVASCULAR SURGERY for Use of This Form, See AR 40 68 Armypubs Army

EVALUATION of CLINICAL PRIVILEGES CARDIOVASCULAR SURGERY for Use of This Form, See AR 40 68 Armypubs Army

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[Music] welcome this is Dr Kathleen Walsh clinical instructor of the Department of Family Medicine at the University of Wisconsin I am accompanied by Dr Melissa Styles hello Dr Styles hello Dr Walsh it's good to be here again so what are we going to talk about today well we're going to talk about pre-operative evaluation concentrating on assessing cardiac risk ooh why is this important we know that 25 to 30% of post-operative deaths are from cardiac causes and the rate of postop cardiac events increases with age so by performing a cardiac risk assessment ahead of time we can determine who needs further intervention I think I'm getting chest pain as we speak well how do you assess cardiac risk I utilize the American College of Cardiology American Heart Association guidelines which is an algorithm so they're basically four steps number one have they had any recent revascularization or stress testing two you want to determine their clinical predictors these

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