{"id":11065,"date":"2026-06-08T12:07:56","date_gmt":"2026-06-08T12:07:56","guid":{"rendered":"https:\/\/www.kauveryhospital.com\/ima-journal\/?p=11065"},"modified":"2026-06-12T06:23:43","modified_gmt":"2026-06-12T06:23:43","slug":"coronary-artery-disease-patient-for-non-cardiac-surgery","status":"publish","type":"post","link":"https:\/\/www.kauveryhospital.com\/ima-journal\/ima-journal-june-2026\/coronary-artery-disease-patient-for-non-cardiac-surgery\/","title":{"rendered":"Coronary artery disease patient for non cardiac surgery"},"content":{"rendered":"

[vc_section][vc_row][vc_column][vc_column_text]<\/p>\n

\"\"<\/p>\n
\n

Scenario<\/h3>\n

Mrs. Saroja, 66y<\/p>\n

Planne for open ventral hernia mesh repair<\/p>\n

Asa 3 – knwn Dm,htn both poorly controlled ,non compliance to drugs , Hypothyroid on Tab.eltrox 25mcg .<\/p>\n

Clinical examination<\/h2>\n

General condition : moderately built , Vitals: BP – 170\/90mmhg,others wnl Airway : mallampati grade 2,short neck . Systemic : chest clear .<\/p>\n

Blood reports : all normal limits except poor glycemic profile and baseline creatinine 1.7, Ecg: strain pattern +,lvh ,Lbbb<\/p>\n

Echo: Ef:55%, RWMA + of LV.<\/p>\n

Chest xray : normal<\/p>\n

PREOP RISK SRATIFICATION AND OPTIMIZATION<\/p>\n

    \n
  1. cardiologist consult<\/li>\n
  2. physician consult for glycemic control<\/li>\n
  3. Multidisciplinary approach<\/li>\n
  4. Optimization of cardiac pathology prior to non cardiac sx<\/li>\n<\/ol>\n

    Further evalution , cardiologist advised<\/p>\n

    1.CAG<\/p>\n

    Which showed LAD 80% stenosis ,with poor collaterals LCX 70% stenosis ,<\/p>\n

    RCA :<\/p>\n

    Pt was advised to undergo immediate PCI WITH PTCA followed by oral antiplatelets .<\/p>\n

    RISK ASSESMENT SCORES IN CARDIAC PATIENTS<\/p>\n

      \n
    1. REVISED CARDIAC RISK INDEX (RCRI)<\/li>\n
    2. GOLDMAN CARDIAC RISK<\/li>\n
    3. DUKE ACTIVITY STATUS INDEX<\/li>\n
    4. MACE SCORE<\/li>\n
    5. ACC\/AHA Risk calculator FRAMINGHAM RISK SCORE<\/li>\n<\/ol>\n<\/div>\n
      \"\"<\/figure>\n
      \"\"<\/figure>\n
      \"\"<\/figure>\n

      MACE SCORE<\/h3>\n
      \"\"<\/figure>\n
      \"\"<\/figure>\n
      \"\"<\/figure>\n
      \"\"<\/figure>\n
      \"\"<\/figure>\n
      \"\"<\/figure>\n
      \"\"<\/figure>\n
      \"\"<\/figure>\n
      \"\"<\/figure>\n<\/figure>\n
      \n
      \"Dr<\/div>\n
      \n

      Dr. Jamila Khatoon
      \nJunior Consultant,
      \nKauvery Hospital, Chennai.<\/a><\/b><\/p>\n<\/div>\n<\/div>\n

      [\/vc_column_text][\/vc_column][\/vc_row][\/vc_section]<\/p>\n","protected":false},"excerpt":{"rendered":"

      [vc_section][vc_row][vc_column][vc_column_text] Scenario Mrs. Saroja, 66y Planne for open ventral hernia mesh repair Asa 3 – knwn Dm,htn both poorly controlled ,non compliance to drugs , Hypothyroid on Tab.eltrox 25mcg .<\/p>\n","protected":false},"author":2,"featured_media":11086,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[101],"tags":[],"class_list":["post-11065","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-ima-journal-june-2026"],"yoast_head":"\nCoronary artery disease patient for non cardiac surgery<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.kauveryhospital.com\/ima-journal\/ima-journal-june-2026\/coronary-artery-disease-patient-for-non-cardiac-surgery\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" 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