In summary, preoperative risk stratification should be undertaken with consideration of the patient's clinical markers, functional status, and surgery-specific risks. Cardiac stress tests are helpful in predicting risk but there is no clear-cut evidence they improve perioperative care. Current guidelines suggest their use in patients undergoing nonemergent surgery with two of the following three features: (1) intermediate risk profile, (2) low functional capacity, or (3) high risk surgery. The indications for coronary revascularization are the same as in the nonpreoperative setting. Lastly, perioperative P-blockers should be used in all patients with intermediate or high risk of cardiac complications in whom they are not absolutely contraindicated.

Constipation Prescription

Constipation Prescription

Did you ever think feeling angry and irritable could be a symptom of constipation? A horrible fullness and pressing sharp pains against the bladders can’t help but affect your mood. Sometimes you just want everyone to leave you alone and sleep to escape the pain. It is virtually impossible to be constipated and keep a sunny disposition. Follow the steps in this guide to alleviate constipation and lead a happier healthy life.

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