Pre-operative electrocardiograms should not be routinely performed in low risk, non-cardiac, adult elective surgical patients.
Patients with an American Society of Anaesthesiologists (ASA) physical classification status of 3 or greater and no ECG results available for review in the last 12 months
Patients with a history of cardiovascular or renal disease, or diabetes.
Patients with any history of potential cardiac symptoms (e.g. cardiac chest pain, palpitations, unexplained syncope or breathlessness) or a new murmur, that has not previously been investigated.
Patients over the age of 65 attending for major surgery.