Anaes Cases · Preoperative assessment & risk
Acute coronary syndrome on the morning of surgery
The hot ACS-on-morning-of-surgery case — the cancellation of the elective surgery, the immediate cardiology referral, the aspirin, the oxygen, the analgesia, and the PCI pathway.
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ANZCAFRCAABAEDAIC
Prompt
A patient presents on the morning of surgery for an elective hernia repair. He reports new central chest pain that started overnight, with sweating and nausea. The ECG shows ST elevation. Manage.
Presentation
A 65-year-old man presents on the morning of the surgery for an elective inguinal hernia repair. He reports new central chest pain that started at 4 a.m., with sweating, nausea and radiation to the left arm. The ECG shows ST elevation in the anterior leads.
References1ShowHide
- [2]Kristensen SD, et al. 2014 ESC/ESA guidelines on noncardiac surgery: Cardiovascular assessment and management : Are the differences clinically relevant? The European perspective. J Nucl Cardiol, 2017.PMID 27538569