What are the AHA recommendations for cardiac evaluation prior to performing CEA for atherosclerotic disease of the carotid artery?

Updated: Sep 29, 2021
  • Author: Jake F Hemingway, MD; Chief Editor: Vincent Lopez Rowe, MD  more...
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Patients with carotid artery stenosis have a high incidence of concomitant coronary artery disease (CAD). American Heart Association (AHA) recommendations regarding cardiac evaluation for noncardiac surgery should therefore be adhered to. In brief, the AHA recommends a functional assessment be performed on all patients with a history of new-onset angina and new symptoms following coronary angioplasty or bypass.

Nondiabetic patients younger than 70 years with no cardiac symptoms and normal findings on electrocardiography (ECG) may undergo CEA without further cardiac workup.

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