Most preoperative stress tests fail to comply with practice guideline indications and do not reduce cardiac events.
Aravind S PonukumatiJesse A ColumboStanislav HenkinJocelyn M BeachBjoern D SuckowPhilip P GoodneySalvatore T ScaliDavid H StonePublished in: Vascular medicine (London, England) (2024)
Electronic medical record-based guidance of perioperative stress testing led to a slight decrease in overall stress testing and an increase in guideline-compliant testing. Our study highlights a need for improved preoperative cardiovascular risk assessment prior to major vascular surgery, which may eliminate unnecessary testing and more effectively guide perioperative decision-making.