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diagnosis perioperative preop atrial cardiology evaluation fibrillation pharmacology preoperative risk stratification treatment
Perioperative Management of DOACs Problem: ✖ Each year approximately 250,000 patients on chronic anticoagulation in North America
Perioperative Management ... : ✖ Each year approximately ... available lab test ... per treatment table ... Perioperative #Management
Atrial Fibrillation (A-Fib) Summary Symptoms: • Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope. Why? Cardiac: • Valvular heart
intolerance, chest pain, near-syncope ... (< 5% pts with afibb ... serum creatinine, test ... typically needed • DOACs ... #diagnosis #management
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
event, follow ACC algorithm ... determine if stress test ... Stable patients ... echo in the last year ... medical and surgical management
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