Can brain natriuretic peptide identify noncardiac surgery patients at high risk for cardiac events?

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Can brain natriuretic peptide identify noncardiac surgery patients at high risk for cardiac events?
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Priyanka Sharma, MD
Ashish Aneja, MD
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Priyanka Sharma, MD
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Ashish Aneja, MD
Department of Hospital Medicine, Cleveland Clinic; Clinical Assistant Professor of Medicine, Cleveland Clinic Lerner College of Medicine, Cleveland, OH

Correspondence: Priyanka Sharma, MD, Department of Hospital Medicine, Cleveland Clinic, 9500 Euclid Avenue, S70, Cleveland, OH 44195; sharmap3@ccf.org

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Ashish Aneja, MD
Department of Hospital Medicine, Cleveland Clinic; Clinical Assistant Professor of Medicine, Cleveland Clinic Lerner College of Medicine, Cleveland, OH

Correspondence: Priyanka Sharma, MD, Department of Hospital Medicine, Cleveland Clinic, 9500 Euclid Avenue, S70, Cleveland, OH 44195; sharmap3@ccf.org

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Ashish Aneja, MD
Department of Hospital Medicine, Cleveland Clinic; Clinical Assistant Professor of Medicine, Cleveland Clinic Lerner College of Medicine, Cleveland, OH

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Can brain natriuretic peptide identify noncardiac surgery patients at high risk for cardiac events?
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Does a systolic murmur heard in the aortic area need to be further evaluated prior to elective surgery?

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A 58-year-old woman with mental status changes

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When is it appropriate to stop antiplatelet therapy in a patient with a drug-eluting stent prior to noncardiac surgery?

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Is postoperative atrial fibrillation in patients undergoing noncardiothoracic surgery an important problem?

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Should beta-blockers be discontinued when a patient is admitted to the hospital with acutely decompensated heart failure?

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