Contemporary personalized β-blocker management in the perioperative setting.

Autor:	Oprea, Adriana D., Wang, Xiaoxiao, Sickeler, Robert, Kertai, Miklos D.
Předmět:	CARDIAC surgery HEART failure patients RANDOMIZED controlled trials MYOCARDIAL infarction
Zdroj:	Journal of Anesthesia; Feb2020, Vol. 34 Issue 1, p115-133, 19p
Abstrakt:	Beta-adrenergic blockers (β-blockers) are clearly indicated for the long-term treatment of patients with systolic heart failure and post-acute myocardial infarction. Early small-scale studies reported their potential benefits for perioperative use; subsequent randomized controlled trials, however, failed to reproduce earlier findings. Furthermore, their role in reducing major postoperative cardiac events following noncardiac and cardiac surgery remains controversial. This case-based review presents an overview of contemporary literature on perioperative β-blocker use with a focus on data available since 2008 when the PreOperative ISchemic Evaluation (POISE) trial was published. Our review suggests that studies should determine the effects of situational-based guidelines on perioperative β-blocker use on the risk of cardiac adverse events and mortality in the perioperative period. [ABSTRACT FROM AUTHOR]
Databáze:	Complementary Index
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