Created at 3:11 p.m. Apr, 22, 2025
Author: adavis98
Related Note: 1510875099955 1
Rationale for change

This card needs some fact-checking.

I am unable to find where in board material that MI within last 6 months is an ABSOLUTE contraindication to non-cardiac surgery.
Rather, all other sources (including the Sketchy 2 video this may come from), seem to indicate that non-cardiac surgery should just be delayed at least 60 days.

The BB Step 2 video on Pre-Operative evaluation indicates >60 days after ACS. UpToDate on "Management of cardiac risk for non-cardiac surgery" also indicates >60 days. Finally, the 2014 ACC/AHA Guidelines on "Perioperative Cardiovascular Evaluation and Management of Patients Undergoing Noncardiac Surgery"

Regarding EF <35%, I have been unable to find where this is an absolute contraindication. BB even explicitly states HFrEF is not a contraindication to surgery; they just have higher rates of complications.

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#AK_Other::!AK_UpdateTags::AnKing_Image::!Subjects::Surgery_&_EM::Preoperative_cardiac_risk_evaluation #AK_Step2_v12::#Resources_by_rotation::FM::ome::surg::preop_eval #AK_Step2_v12::Original_decks::Dorian::fam::ome::surg::preop_eval #AK_Step2_v12::#Resources_by_rotation::Surgery::ome::gensurg::preop_eval #AK_Other::!AK_UpdateTags::AnKing_Image::Mujeeb::Preoperative_cardiac_risk_evaluation #AK_Step2_v12::!Shelf::#Cards_AnKing_Did::1surgery #AK_Step2_v12::Original_decks::Dorian::im::nbme #AK_Step2_v12::#Resources_by_rotation::Surgery::devirgilio_dorian::ct_vascular #AK_Step2_v12::#Subjects::Surgery_&_EM::01_Pre-Op::Cardiac_Risk #AK_Step2_v12::Original_decks::Dorian::surg::ome::gensurg::preop_eval #AK_Step2_v12::#SketchySurgery::01_Preoperative_&_Postoperative_Surgical_Considerations::01_Preoperative::01_Cardiac_Risk_Assessment_and_Perioperative_Management #AK_Other::#AK_Original_Decks::Step_2::Cheesy_Dorian_(M3) #AK_Step2_v12::#OME::Clinical::06_Surgery::01_General::01_Preoperative_Evaluation #AK_Other::!AK_UpdateTags::AnKing_Image::MS::Preoperative_cardiac_risk_evaluation #AK_Step2_v12::#OME::06_Surgery::01_General::01_Preoperative_Evaluation #AK_Step2_v12::#Resources_by_rotation::IM::nbme