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Should Recent Clinical Trials Change Perioperative Management in Patients with Cardiac Risk Factors?

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Abstract

A 75-year-old man with a known history of an ischemic cardiomyopathy presents for resection of a presumed malignant liver tumor. He had 2 cardiac stents placed in the last year and a half. His medications include spironolactone, lisinopril, pioglitazone, and atorvastatin. He also takes 81 mg aspirin per day. A recent cardiac catheterization showed that his stents were wide open and there was evidence of diffuse, cardiac arterial disease not amenable to stenting or surgery. His ejection fraction is 32 %, and there is diastolic dysfunction on his echocardiogram.

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Correspondence to Corey S. Scher .

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Scher, C.S. (2017). Should Recent Clinical Trials Change Perioperative Management in Patients with Cardiac Risk Factors?. In: Scher, C., Clebone, A., Miller, S., Roccaforte, J., Capan, L. (eds) You’re Wrong, I’m Right. Springer, Cham. https://doi.org/10.1007/978-3-319-43169-7_1

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  • DOI: https://doi.org/10.1007/978-3-319-43169-7_1

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  • Publisher Name: Springer, Cham

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  • Online ISBN: 978-3-319-43169-7

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