Contraindication to elective surgery (361/1700)

A 55yo man has been admitted for elective herniorraphy. Which among the following can be the
reason to delay his surgery?
a. Controlled asthma
b. Controlled atrial fib
c. DVT 2yrs ago
d. Diastolic BP 90mmHg
e. MI 2 months ago




























answer: E

Data which suggest waiting 6 months post-MI for elective surgery are based on several enormous (> 40,000 patients), one of which was at the Mayo Clinic, and most of which show a reduction in mortality when waiting 6 months after an MI. Note that these are in the pre-B-blocker era, however there are currently no better data refuting these findings