A 72 year old female is referred to cardiology for clearance to undergo eye surgery. During her review of symptoms she mentions that she occassionally gets 5-10 minutes of epigastric pain after meals which is always releived by Pepto-Bismol. Below is her EKG taken in the office while she is pain free. She is sent to the ER for further evaluation. A repeat EKG is unchanged and cardiac enzymes are negative. Can she be cleared for surgery or should you recommend a stress-test first?

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