Anesthesiology and Intensive Care

         ACC/AHA cardiac evaluation and care algorithm for non-cardiac surgery based on active clinical conditions, known cardiovascular disease, or cardiac risk factors for patients 50 years of age or greater. A stepwise approach to the risk assessment of patients with pre-existing cardiac disease, scheduled for surgery. Subsequent care may include cancellation or delay of surgery, coronary revascularization followed by non-cardiac surgery, or intensified care.  click the picture to enlarge:

A score of ≥2 is associated with a favorable benefit / risk ratio for prolonged DAPT while a score of < 2 is associated with an unfavorable benefit / risk ratio. CHF indicates congestive heart failure; DAPT, dual antiplatelet therapy; LVEF, left ventricular ejection fraction; MI, myocardial infarction; and PCI, percutaneous coronary intervention. Reference Levine GN, Bittl JA, Brindis RG, et al. 2016 ACC/AHA Guideline Focused Update on Duration of Dual Antiplatelet Therapy in Patients With Coronary Artery Disease.  J Am Coll Cardiol  2016; doi=10.1016/j.jacc.2016.03.513.