Cardiac

Every answer in Cardiac has these

• Start with the urgency, operation and lesion.
• State this lesion's goals for rate, rhythm, preload, afterload and contractility.
• Have the rescue drug drawn up and the defibrillator ready before induction.
• Say where the patient recovers and who follows the heart afterwards.

The cases

1. Ischaemic heart disease for rectal cancer surgery Core
2. Severe HFrEF for emergency laparotomy Core
3. AF on apixaban for bleeding bladder tumour
4. Severe mitral regurgitation for free-flap surgery Core
5. Severe PAH on epoprostenol for hysteroscopy Core
6. Unrepaired VSD for adenotonsillectomy
7. Unrepaired tetralogy of Fallot for MRI Core
8. Pacing-dependent ICD patient for neck surgery Core
9. Recent drug-eluting stent for spinal decompression
10. Acute tamponade after AF ablation
11. WPW with pre-excited AF after intubation Core
12. Severe symptomatic AS for urgent laparoscopy Core
13. Heart transplant recipient for appendicectomy
14. Severe mitral stenosis in labour
15. Acquired long QT for ECT
16. Obstructive HCM for sinus surgery
17. Poorly controlled hypertension for laparoscopic colectomy
18. Marfan aortic regurgitation for urgent appendicectomy
19. Repaired coarctation with residual narrowing for caesarean
20. Eisenmenger syndrome for urgent wrist fixation
21. Unrepaired ASD for cemented hip hemiarthroplasty
22. Mechanical mitral valve on warfarin for retinal detachment surgery