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The Beta Blocker and Clonidine Protocol

Lesson 2
Lesson 2 - Epidemiology

10. PCM (Perioperative Cardiac Morbidity) Risk Factors

Smoking is very glamorous (not)Let's review the risk factors. So now you have to worry about: Coronary Artery Disease, Myocardial Infarction, Congestive Heart Failure, Unstable Angina, Peripheral Vascular Disease, Hypertension, Diabetes, Cigarettes, Elevated Cholesterol, Age over 65, and last but not least an episode of Myocardial Ischemia.

I want to apologize, but I have now just given you a new thing to worry about: Myocardial Ischemia. And, just because I am a bit sadistic I want to point out that this is not just myocardial ischemia in the operating room; It is myocardial ischemia from a day or two preop to a week post op. You now have to worry about PERIOPERATIVE myocardial ischemia not just OPERATIVE ischemia.

PCM (Perioperative Cardiac Morbidity) Risk Factors

1. Coronary Artery Disease
2. Myocardial Infarction
3. Congestive Heart Failure
4. Unstable Angina
5. Peripheral Vascular Disease
6. Hypertension
7. Diabetes
8. Cigarettes
9. Elevated Cholesterol
10. Age over 65
11. Episode of Myocardial Ischemia

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Content by Art Wallace MD PhD
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