Case

History of ischaemic heart disease: preoperative assessment after PCI

A case on preoperative evaluation of patients with prior coronary stent placement.

Teaching points

In patients with prior PCI, confirm stent type, placement date, and current antiplatelet therapy.
Antiplatelet management decisions require collaboration with cardiology — do not decide unilaterally.
Absence of symptoms does not equal absence of risk; review objective cardiac function data.

Next clinical question

How does the assessment change in patients with severe aortic stenosis?

Apply this in practice

Use the Cardiac Risk Navigator to assess multiple risk factors in this patient.