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We thank Dr Piscione for his interest in our article.1 We agree that the subgroup of patients with significant coronary artery disease and ischaemia, and an indication for urgent non-cardiac surgery, can prove difficult to manage. These patients are at increased risk of peri-operative cardiac complications, and where pre-operative revascularisation is …
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Competing interests None.
Provenance and peer review Commissioned; not externally peer reviewed.
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