The Importance of Talking to Patients About Physiologic Reserve

Justin: While age itself is just a number evaluating patients for frailty can be useful in terms of prognosticating and assessing someone's overall perioperative risk. Hard failure has far worse outcomes perioperically and post surgically than you know the worrying about sort of an ischemic event actually happening so I just we should worry about all of it but I do think that the way she spent a fair amount of time talking about looking at LV dysfunction because the worst the LV function the worst the the perioperative outcomes are in there. If they see any right heart failure pulmonary hypertension that's a big a big flat red flag for them, Justin says.