ASPD bidirectional atrial radiology cxr bubble chf 2 msk a4c preop rheumatic perioperative

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Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be

specific questions to ask ... Preop creatinine ... disease b) CHF ... one post op Cardiology ... CARP, DECREASE V trials

Rheumatic Heart Disease - Mitral Stenosis on Echocardiogram
(1) Thickened and fibrosed MV leaflets - rheumatic etiology

- with severe MS ... (2) Lvef 25-30% ... (7) patient in atrial ... clinically be in CHF ... #a4c #thrombus

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