Preoperative cardiac evaluation

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Medical clearance for patients who need surgery is commonly requested of primary care physicians. A focused evaluation of the cardiovascular and other major body systems is the key to assessing preoperative risk. Which diagnostic tools and laboratory tests are most helpful? And which findings are most significant? The authors answer these questions and suggest ways primary care doctors can help minimize complications in the perioperative period.

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Notes on contributors

Steven L. Almany

Steven L. Almany, MD Lisa Mileto, CRNA, MS Joel K. Kahn, MD Dr Almany is a staff cardiologist, Ms Mileto is a nurse anesthetist and clinical coordinator of the Oakland University/Beaumont Graduate Anesthesia Program, and Dr Kahn is a staff cardiologist, William Beaumont Hospital, Royal Oak, Michigan. Drs Almany and Kahn are also partners, Michigan Heart Group, and Dr Kahn is clinical assistant professor of medicine, Wayne State University School of Medicine, Detroit.

Lisa Mileto

Steven L. Almany, MD Lisa Mileto, CRNA, MS Joel K. Kahn, MD Dr Almany is a staff cardiologist, Ms Mileto is a nurse anesthetist and clinical coordinator of the Oakland University/Beaumont Graduate Anesthesia Program, and Dr Kahn is a staff cardiologist, William Beaumont Hospital, Royal Oak, Michigan. Drs Almany and Kahn are also partners, Michigan Heart Group, and Dr Kahn is clinical assistant professor of medicine, Wayne State University School of Medicine, Detroit.

Joel K. Kahn

Steven L. Almany, MD Lisa Mileto, CRNA, MS Joel K. Kahn, MD Dr Almany is a staff cardiologist, Ms Mileto is a nurse anesthetist and clinical coordinator of the Oakland University/Beaumont Graduate Anesthesia Program, and Dr Kahn is a staff cardiologist, William Beaumont Hospital, Royal Oak, Michigan. Drs Almany and Kahn are also partners, Michigan Heart Group, and Dr Kahn is clinical assistant professor of medicine, Wayne State University School of Medicine, Detroit.