Poll: Just Another Preoperative Clearance?

A 70-year-old female with prior stroke, coronary artery disease, history of non-ischemic cardiomyopathy with ejection fraction (EF) 55%, comes to the office for risk stratification for laparoscopic cholecystectomy. She currently states that she is having no symptoms of chest pain, shortness of breath, or orthopnea. She complaints of fatigue.

She ambulates with a rolling walker and had an unwitnessed fall last week. She has a home health aide, and needs help with all instrumental activities of daily living.

She is unaware of the medications that she takes, questioning why it is not present in her chart.

Further chart review reveals a weight loss of 15 lbs. over the last two months and several missed healthcare appointments.

Clinical Topics: Geriatric Cardiology, Heart Failure and Cardiomyopathies, Atherosclerotic Disease (CAD/PAD)

Keywords: Geriatrics, Frail Elderly, Risk, Fatigue, Cholecystectomy, Laparoscopic, Stroke, Coronary Artery Disease, Cardiomyopathies, Accidental Falls, Exercise Test, Catheterization, Palliative Care

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