Don’t order coronary artery calcium scoring for preoperative evaluation for any surgery, irrespective of patient risk.
|Rationale and Comments:||No evidence exists to support the diagnostic or prognostic potential of coronary artery calcium scoring in individuals in the preoperative setting. This practice may add costs and confound professional guideline-based evaluations.|
|References:||• Fleisher LA, et al. ACC/AHA 2007 guidelines on perioperative cardiovascular evaluation and care for noncardiac surgery. Circulation. 2007;116(17):e418–99.|