Active Cardiac Conditions that are a contraindication to Elective Surgery

Patients with any of the following are at very high risk for perioperative MACE (MI, heart failure, ventricular fibrillation or primary cardiac arrest, complete heart block, and cardiac death.)

1. MI within the last 60 days
2. Unstable angina or ACS
3. Decompensated heart failure, NYHA class IV CHF, worsening or new-onset CHF.
4. Significant Arrhythmias e.g. Mobitz II, high-grade AV block, 3rd degree AV block, new or symptomatic VT, SVT with HR > 100, symptomatic bradycardia.
5. Hemodynamically important valvular heart disease e.g., severe aortic stenosis, symptomatic mitral stenosis.

Delay elective surgery and work with cardiology to optimally manage a patient with any of the above conditions.