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Patients with intermittent claudication secondary to spinal problem may have asymptomatic cardiac disease. We experienced a case of sudden cardiac arrest in a low-risk male patient during elective spinal surgery which was performed in accordance with the current guidelines. A 54-year-old male, who did not have active cardiac conditions or clinical risk factors for perioperative cardiovascular events, was scheduled to have a planned surgery for spinal stenosis without preoperative testing fordoi:10.12997/jla.2012.1.1.35 fatcat:xw2iveqa6bg4jebab7n7fmscp4