You are evaluating a patient in the preoperative clinic. You…

You are evaluating a patient in the preoperative clinic. You notice an early diastolic murmur with an S3 gallop, and there is a widened pulse pressure when the blood pressure is taken. Review of past cardiology notes shows concern for eccentric left ventricular dilation (thinning of the ventricular wall). The patient reports symptoms of intermittent dyspnea with exertion. What valvular disease MOST matches this description?

During your preoperative assessment for a high-risk surgery…

During your preoperative assessment for a high-risk surgery you find the following: Your patient has a history of hypertension, reports shortness of breath with exertion, and cannot achieve a metabolic equivalent of 4. Which of the following is the BEST way to proceed?