USMLE Forum Archives - USMLE Step 3 - Surg: cause of perioperative death
Surg: cause of perioperative death
meduploader - 06-02-09 13:24
A 67-year-old white male retired factory worker was found to have an abdominal aortic aneurysm on routine physical examination. A vascular surgeon has recommended operative repair. The patient is a former smoker, with a 10-pack-year smoking history. Three years ago, while under the stress of a forced retirement, he had angina which responded well to sublingual nitroglycerin. He has had no angina for 1 year.Which one of the following conditions would be the most likely cause of perioperative death in this patient?
meduploader - 06-02-09 13:24
A 67-year-old white male retired factory worker was found to have an abdominal aortic aneurysm on routine physical examination. A vascular surgeon has recommended operative repair. The patient is a former smoker, with a 10-pack-year smoking history. Three years ago, while under the stress of a forced retirement, he had angina which responded well to sublingual nitroglycerin. He has had no angina for 1 year.Which one of the following conditions would be the most likely cause of perioperative death in this patient?
The correct answer and explanation will be available after you answer.
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#14
Re: Surg: cause of perioperative death conym5 - 04-08-10 20:33 Myocardial infarction is the major cause of perioperative death in patients undergoing surgery for abdominal aortic aneurysm. This is especially true of patients with a history of known coronary artery disease or with EKG abnormalities, and it is true even if the coronary artery disease is stable.
#18
Re: Surg: cause of perioperative death babbu5508 - 09-30-10 09:30 My answer is: d.
a past history of stress induced angina...operation is likely to be another form of stress and may cause MI....
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