Medicine Grand Rounds feature weekly topic and case-based presentations designed to provide faculty and trainees with up-to-date knowledge about timely issues in internal medicine.

Title: “CV Risk, Health Equity and Nutrition”

Speaker: Kim Allan Williams, Sr., M.D., MACC, FAHA, MASNC, FESC

Learning Objectives:

1.To understand and be able to implement stepwise approach to perioperative cardiac assessment assists clinicians in determining when surgery should proceed or when a pause for further evaluation is warranted. 

2.To understand that cardiovascular screening and treatment of patients undergoing noncardiac surgery (NCS) should adhere to the same indications as nonsurgical patients, carefully timed to avoid delays in surgery and chosen in ways to avoid overscreening and overtreatment. 

3.To understand that preoperative noninvasive evaluation, such as routine ECGs and stress testing, should be performed judiciously in patients undergoing NCS, especially those at lower risk, and only in patients in whom testing would be appropriate independent of planned surgery.