My fiance is 54 yoa, white male. He has CAD, has had two MI s. / p MI (1)2004- tx was c stent implants. in 2006- MI (2) presented and emergency quadruple by-pass heart was performed. He is on 19 medications- to name a few- PLAVIX 1 PO QD, NIASPAN 1000MG TID, 81MG ASPIRIN 1 PO QD, FOUROSIMIDE 40MG 1 PO QD, k-dUR, CRESTOR40MG 1 PO Q NOC HS;SIMVASTATIN 1 PO Q NOC HS; TL GUARD TABS 1 PO QD, QUINIPRIL 40MG 1 PO QD, CLOPIDOGRAL TABS 75 MG 1 PO HS; RANITIDINE 1 PO BID; LEVOTHYROXINE 0.125MG 1 PO QD;LEVOTHYROXINE 13MCG 1 PO QD;sYNTHROID0.112MCQ 2 PO QD; ? ///OTC VIT D _3 1000 i.u / NIACIN 500MG He is 340 lbs; 6 1 . He is a smoker. He is undergoing a lumbar procedue whereby they will inject steroids into his spine. He will be under anesthesia. What are riskd considering his med HX. Thank you