Are you evaluating a patient in the perioperative period?

Age of the patient


Gender of the patient

Does the patient have a history of?

• hypertension?

• diabetes mellitus?

• renal insufficiency?

• smoking?

• chronic obstructive pulmonary disease (COPD)?

• peripheral vascular disease?

• ischemic heart disease?

• heart failure or systolic dysfunction (ejection fraction < 40%)?

• cardiac arrhythmias?

• valvular heart disease?

• stroke or transient ischemic attack (TIA)?

Does the patient have?

• atherosclerosis of ascending aorta?

• stenosis of the carotid and/or vertebral artery?

• an abrupt stoppage of antithrombotic therapy shortly before surgery?

During surgery did the patient?

• undergo prolonged cardiopulmonary bypass?

• undergo prolonged cross-clamping of the aorta?

• have trauma to atherosclerotic lesions in the ascending aorta or carotid arteries?

• develop cardiac arrhythmias?

• develop hypertension or hypotension?

• develop severe hyperglycemia?

• undergo prolonged general anesthesia?

• experience a release of emboli?

After surgery has the patient?

• developed atrial fibrillation or other arrhythmia?

• developed heart failure or systolic dysfunction?

• had an acute myocardial infarction?

• become dehydrated?

• become hypovolemic from blood loss?

• developed hyperglycemia?


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