Preoperative cardiovascular assessment
Clinical assessment before surgery to estimate cardiovascular risk and support planning with the patient, surgeon, anesthesiologist and care team.

What it is
A preoperative cardiovascular assessment is performed before surgery or a procedure to understand the patient’s cardiovascular status and provide information for perioperative planning.
What it is for
It helps estimate risk, review known cardiovascular disease, symptoms and medications, and identify measures that may reduce perioperative complications.
How it works
Assessment considers the type and urgency of surgery, functional capacity, clinical history, examination, medications and available tests. Additional tests are ordered only when they may change management.
When it may be indicated
It may be requested by the surgeon, anesthesiologist or treating physician, particularly for more complex procedures or when cardiovascular disease, symptoms or relevant risk factors are present.
Important information
Preoperative assessment does not make surgical risk zero and should not be understood as a guarantee. It provides a clinical estimate and recommendations to support shared decisions.
Frequently asked questions
Does everyone need an ECG or stress test before surgery?+
No. The need depends on the procedure, age, symptoms, functional capacity and clinical conditions.
Is this a “clearance” that guarantees surgery is safe?+
It is better understood as risk assessment and perioperative recommendations. No evaluation can remove all surgical risk.
Should I stop medications before the appointment?+
Do not change medications on your own. Any adjustments should be made by the responsible medical team.
Individual assessment matters
This page is educational and does not replace an individual medical assessment. Tests, treatment and follow-up are defined according to the clinical context. For acute or emergency symptoms, seek urgent care.
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