2009 ACCF/AHA Focused Update on Perioperative Beta Blockade Incorporated Into the ACC/AHA 2007 Guidelines on Perioperative Cardiovascular Evaluation and Care for Noncardiac Surgery

Fleisher, Lee A.; Beckman, Joshua A.; Brown, Kenneth A.; Calkins, Hugh; Chaikof, Elliot L.; Fleischmann, Kirsten E.; Freeman, William K.; Froehlich, James B.; Kasper, Edward K.; Kersten, Judy R.; Riegel, Bárbara; Robb, John F.

doi:10.1016/j.jacc.2009.07.010

Cited by 336 publications

(263 citation statements)

References 627 publications

(515 reference statements)

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“…12 The perioperative period for the SCIP cardiac measures is defined as 24 hours prior to surgical incision through discharge from postanesthesia care/recovery area. Similarly, the American Table 1 Recommendations for perioperative beta À blocker therapy (as noted in ACCF/AHA perioperative guidelines, 2009) 4 …”

Section: Perioperative Beta Blockersmentioning

confidence: 99%

Perioperative Beta Blockade

Irani

2013

Clinics in Colon and Rectal Surgery

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The use of preoperative beta (?) blockade has been through several changes, and it is clear that large, randomized controlled trials on the subject are in need. Currently, a judicious approach to perioperative ? blockade is supported. Continuation of ? blockers is recommended for the patient taking them prior to surgery. Patients undergoing large colorectal procedures, with coronary artery disease or high cardiac risk, should have ? blockers titrated to heart rate and blood pressure. Dosages should be titrated to heart rate and blood pressure rather than using fixed, long-acting dosages. When ? blockers are indicated, they should be initiated weeks before surgery.

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Section: Perioperative Beta Blockersmentioning

confidence: 99%

Perioperative Beta Blockade

Irani

2013

Clinics in Colon and Rectal Surgery

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“…An erythrocyte sedimentation rate done two months prior was 17. Based on ACC/AHA criteria [8] (Table 1), he had no absolute contraindication to surgery.…”

Section: Case Reportmentioning

confidence: 99%

First Time Myocardial Infarction in a Rheumatic Patient After Elective Arthroplasty

et al. 2013

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“…In contrast, the risks of stopping antiplatelet medication peri-operatively have been well demonstrated, particularly in those patients with coronary stents, in whom stent thrombosis is frequently a fatal event [5,6].…”

Section: Pre-operative Medication and Proximal Femoral Fracturesmentioning

confidence: 99%