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Question:

A 72-year-old man with coronary artery disease was seen on the Orthopedic Inpatient service. He is currently being treated for septic arthritis of the right knee. The Orthopedics team recommends knee debridement followed by a total knee replacement. Past medical history is significant for angina, diabetes, hypertension, and prior MI. A drug-eluting stent was placed to the proximal left anterior descending artery 3 months ago for stable angina. Medications include aspirin and ticagrelor.

What do you recommend regarding the timing of this patient's surgery?

  1. Proceed to surgery now
  2. Wait 3 more months for surgery
  3. Wait 6 more months for surgery
  4. Wait 9 more months for surgery

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