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Perioperative Cardiovascular Evaluation

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Diagnosis Table 1. Definitions of Urgency and Risk Category Definitions Emergency • Life or limb is threatened if not in the operating room where there is time for no or very limited or minimal clinical evaluation, typically within <6 h. Urgent • There may be time for a limited clinical evaluation, usually when life or limb is threatened if not in the operating room, typically between 6 and 24 h. Time-sensitive • A delay of >1 to 6 wk to allow for an evaluation and significant changes in management will negatively affect outcome. (Most oncologic procedures would fall into this category.) Elective • The procedure could be delayed for up to 1 y. Low risk • The combined surgical and patient characteristics predict a risk of a MACE of death or MI of <1%. Elevated risk • A risk of MACE of ≥1%. 1

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