LAUSR

Dear editor, First described in 1973 [1], Frank’s sign is strongly predictive of a myriad of cardiovascular diseases such as coronary, cerebrovascular, and peripheral vascular diseases [2] and is more useful diagnostically in persons younger than 60 years of age [3]. A recent study showed a significant association between the sign and cardiovascular events with a sensitivity and specificity of 43% and 70% [4]. Despite its importance, this sign is poorly used in anesthesiological practice. Written informed consent was obtained from the patient for the publication of this report. A 52-year-old man with no past medical or familial history, American Society of Anesthesiologists physical status 2, was scheduled for laparoscopic radical prostatectomy. Prior to presentation, he was a nonsmoker and physically active with a metabolic equivalent of > 4. The rest of the examination was unremarkable. The pre-operative hemoglobin level was 13 g dL-1 and the biochemical profile was normal. The attending anesthesiologist did not deem any cardiac exDOI: https://doi.org/10.5114/ait.2020.93219