NOTE: This module is currently in the process of being updated and recertified, and so does not currently offer CME. A fully updated module eligible for CME is expected to be available Fall 2024.

Steven L. Cohn, MD, MACP, SFHM

Based on the original module, Perioperative Cardiac Risk Management, by Zishan Siddiqui, MD, and Leonard Feldman, MD, FACP, SFHM

If you are a Program Director and would like to grant access to your trainees, please reach out to education@hospitalmedicine.org for an academic access code.

SUMMARY

Perioperative cardiac complications are the most widely feared medical issues for the anesthesiologist, surgeon, and medical consultant as they approach a patient with the option of surgery. To assess for the preoperative cardiac risk, hospitalists should follow a step-wise algorithm. The following module reviews the risk assessment process and enables the hospitalist to order appropriate preoperative testing.

GOAL

Provide hospitalists with current assessment strategies to evaluate for perioperative cardiac risk.

TARGET AUDIENCE

This activity is designed for hospitalists. No prerequisites required.

LEARNING OBJECTIVES

After completing the module, the participant will demonstrate the ability to:

1. Tailor the perioperative evaluation based on the urgency of the procedure.
2. Determine if there are red flag issues that may necessitate delaying nonemergent surgery.
3. Estimate the combined clinical/surgical risk based on validated models.
4. Determine functional status using metabolic equivalents.
5. Assess the appropriate uses for cardiac stress testing and coronary revascularization.
6. Evaluate the role of perioperative biomarkers for cardiac risk assessment.

ACCREDITATION STATEMENT 

The Society of Hospital Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

CREDIT STATEMENT DESIGNATION

The Society of Hospital Medicine designates this activity for a maximum of 2.00 AMA PRA Category 1 Credit(s)^TM. Physicians should only claim credit commensurate with the extent of their participation in the activity.

Release Date: 01/04/2019  Expiration Date: 01/04/2022

Estimated time to complete: 2 hours

CONFLICT OF INTEREST DISCLOSURE POLICY

In accordance with the ACCME Standards for Commercial Support, SHM requires that individuals in a position to control the content of an educational activity disclose all relevant financial relationships with any commercial interest. SHM mitigates all conflicts of interest to ensure independence, objectivity, balance, and scientific rigor in all its educational programs. All relevant financial relationships shall be disclosed to participants prior to the start of the activity.

Furthermore, SHM seeks to verify that all scientific research referred to, reported, or used in a continuing medical education (CME) activity conforms to the generally accepted standards of experimental design, data collection, and analysis. SHM is committed to providing its learners with high-quality CME activities that promote improvements in healthcare and not those of a commercial interest.

INSTRUCTIONS

The following is an interactive educational module designed to help you gauge your basic knowledge of the topic and then direct you to areas you may need to focus on. It consists of several sections: a pre-test, a study program, a post-test, & CME evaluation. All sections must be completed to receive CME credit.