Abnormal EKG - will I be approved for surgery?

The are preoperative evaluations set up to evaluate your risk for general anesthesia. Those evaluations include blood work, EKG, chest x-ray, urinalysis, etc. What to order is based on the procedure, your medical history, your age and should be directed by your surgeon or primary care provider. An abnormal EKG warrants further analysis by a cardiologist and commonly, some type of stress test will be necessary. In most cases, if the stress tests are normal, your cardiologist will clear you for surgery. I hope everything goes well.

Thanks for sharing your concerns with us. In my practice before performing and surgery the patient has to go to a cardiology evaluation. If all your test and labs are normal and your cardiologist give you the permission to have the surgery, the surgeon doesnt have problem. Respectfully,Dr. Emmanuel Mallol Cotes.-

You'll need to have written clearance from your cardiologist before you can have surgery in my experience.

Thanks for your question. Abnormal ekg's are not uncommon, but they have to be looked at as only one part of the bigger picture about a patient. If these abnormalities are unchanged over the last decade then you will most likely be cleared for surgery. Next we usually ask patients about symptoms and exercise tolerance. The problem with a diabetic patient is that sometimes the symptoms of heart disease can be missing. ( ie no chest pain ) So in an effort to make sure that this elective surgery is as safe as possible I would agree on having a stress test to rule out any significant heart disease. Once all of that is done then your plastic surgeon has to decide if they are willing to proceed. Having operated on hundreds of diabetic patients over the years the cardiac risks are usually not the problem. We know that wound healing and skin breakdown are a much greater risk than non-diabetic patients. Therefore I do treat these patients a little different so as to minimize these risks. Good luck. 

  If you have been cleared by her cardiologist it depends on if your plastic surgeon elects to proceed with the surgical services for you.  In my opinion, with a clearance from cardiology and no change in the last 5-15 years you should be able to proceed. 

Safety is always the priority in surgery. You must first meet with your cardiologist to discuss your interest in a mommy makeover. If given clearance you can then meet with a board certified plastic surgeon to discuss the procedure. If cleared you may need to have extra precautions in place for safety. Potential examples may be having your surgery in a hospital versus a surgery center or potentially be required to stay overnight for observation.

Absolutely if you are 61, type II diabetic, abnormal EKG with ST depression and Q waves I will not perform any surgery on you for plastic purposes.You should get under the risk of a surgery just for vital and emergency reasons.The stress test will not change the other risks you have against you on an operating room.You should understand that your ASA (American Society of Anesthesiologist) Classification of Risks "is 3 or 5" points, high enough for avoiding elective surgery.

In order to be able to proceed with surgery, your cardiologist will need to provide medical clearance.   The nuclear stress test and echo are commonly used during this process.   Best to you. 

Hi there. If you have a normal stress test your cardiac condition would be considered stable and provided that you do not have any symptoms it is likely that you can proceed with surgery. Consult with a BCPS. Good luckDr. B

Thank you for your question. If all the tests are normal and if you are in good health, usually will be approved. They will tell what level of risk you are going to be. Good Luck