Pre-surgery heart clearance

Having chest pain or trouble breathing right now? Call 911.

 

Who needs a heart evaluation before surgery

 

• People with known heart disease, a stent, bypass surgery or a valve problem

• People with symptoms such as chest pain, shortness of breath or fainting

• People with risk factors like diabetes, kidney disease or a prior stroke who are having a higher-risk surgery

• Anyone whose surgeon or anesthesiologist asks for one

 

What the visit includes

 

• A review of your health history, medicines and the planned surgery

• A physical exam and an ECG

• Testing only if it would change your care, such as an echocardiogram or stress test, done in our office

• Guidance on blood thinners and heart medicines around surgery, coordinated with your surgeon

 

What to bring

 

Photo ID and insurance card, your surgeon’s clearance form or request, your medication list, recent test results, and your surgery date.

 

When to book

 

Book as soon as your surgery is scheduled. Ideally, see us at least 1 to 2 weeks before surgery so there’s time for any testing.

 

Common questions

 

 

Does clearance guarantee there won’t be problems?

No one can promise that. Clearance means we’ve assessed your heart risk and shared recommendations to keep you as safe as possible.

 

Will I need a stress test?

Usually not. Most people only need one if their symptoms or activity level call for it.

 

Do you send the report to my surgeon?

Yes. We send our evaluation directly to your surgical team.

 

 

Related: Stress testing · Echocardiogram · Chest pain

 

Medically reviewed by David Fridman, MD · September 29, 2026