A 68-year-old patient with an undocumented medical history i…
A 68-year-old patient with an undocumented medical history is scheduled for an elective total knee arthroplasty at a freestanding ambulatory surgery center. During your assessment, the patient reports an inability to climb a flight of stairs without severe dyspnea, indicating a functional capacity of < 4 METs. Based on the ACC/AHA guidelines on perioperative cardiovascular evaluation, what is the most appropriate anesthetic management decision?
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