A 65-year-old male presents with a painful nodule in his wrist that is determined to be a ganglion cyst. Despite attempts at aspiration, it recurs. He is unable to work as a computer programmer, is on disability, and is feeling depressed. He is scheduled for wrist surgery. He reports having been discharged 1 week ago for an episode of chest pain. Troponins were elevated at that time, but there was no elevation of his ST segment. Which of the following is the best recommendation?
(A) Proceed with surgery with intraoperative transesophageal echocardiography
(B) Proceed with surgery but perform under local anesthesia with sedation
(C) Proceed with surgery only if echocardiogram shows normal ejection fraction
(D) Proceed with surgery after aggressive beta blockade to get heart rate into low 60s
(E) Postpone surgery for at least 4 weeks