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Physicians perform tests for cardiac clearance to uncover hidden challenges and understand a patients heart health prior to surgery. The tests help avoid surprises from cardiac complications when the patient is on the operating table and following surgery.
Cardiac clearance is a heart health screening. A cardiologist will take a close look at your heart health to make sure that your cardiovascular health is good enough to reduce the risk of serious complications. Think of it this way, typically athletes undergo a sports physical before playing sports.
Patients who have a complex medical history, a history of cardiac conditions (especially related to anesthesia), and current comorbidities typically need cardiac testing for surgical clearance.
The idea behind cardiac clearance is to assess a patients risk of a cardiovascular event occurring during the surgery and what interventions and plans can be made to manage them.
History and Physical Exam and Labs are valid for 30 days. EKGs that are normal are valid for 90 days. These tests meet the minimum requirements for surgical clearance; further testing is at your discretion.

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The best assurance of a good postoperative outcome is that the patient is in optimal condition prior to surgery, as determined by the patients internist or cardiologist. The purpose of preoperative evaluation is to assure that no further diagnostic testing or medical therapy is necessary to optimize the patient.
History and Physical Exam and Labs are valid for 30 days. EKGs that are normal are valid for 90 days. These tests meet the minimum requirements for surgical clearance; further testing is at your discretion.
The idea behind cardiac clearance is to assess a patients risk of a cardiovascular event occurring during the surgery and what interventions and plans can be made to manage them.
The main test involved in preoperative cardiac clearance is an EKG, which evaluates your hearts electrical activity. If youre having cardiac surgery, or if your EKG results arent clear, you may need further testing.
If you have an upcoming cardiac (heart) or pulmonary (lung) evaluation and youre having an elective (non-urgent) EGD or colonoscopy, it is recommended that you complete any cardiac or pulmonary evaluation first. This is important to assess your relative risk of any anesthesia or sedation.

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