Perioperative Beta-blocker and Statin use in Patients with Coronary Artery Disease undergoing Orthotopic Liver Transplantation
نویسندگان
چکیده
Perioperative Beta-blocker and Statin use in Patients with Coronary Artery Disease Undergoing Orthotopic Liver Transplantation Stephen J Bagley1, Meredith Grzybowski2, Andrew J Litwack3 and Scott M. Lilly4* 1Department of Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA 2Penn Transplant Institute, University of Pennsylvania, Philadelphia, PA 19104, USA 3Department of Medicine, Cardiovascular Division, University of Pennsylvania, Philadelphia, PA 19104, USA 4Division of Cardiovascular Medicine, Heart and Vascular Center, Ohio State University, Columbus, OH 43210, USA Journal of Clinical Trials in Cardiology Open Access Research Article
منابع مشابه
Perioperative cardiac risk reduction.
Cardiovascular complications are the most common cause of perioperative morbidity and mortality. Noninvasive stress testing is rarely helpful in assessing risk, and for most patients there is no evidence that coronary revascularization provides more protection against perioperative cardiovascular events than optimal medical management. Patients likely to benefit from perioperative beta blockade...
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BACKGROUND Cardiac risk assessment for perioperative outcomes of liver transplantation patients is limited. We examined the outcomes of an older intermediate-cardiac-risk group of patients undergoing liver transplantation surgery. METHODS AND RESULTS Patients who had liver transplantation surgery between 2001 and 2005 were studied. The 3 outcomes analyzed were nonfatal myocardial infarction, ...
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Perioperative myocardial infarction is a major cause of complications and death among patients undergoing noncardiac surgery. 1 Annually in the United States, approximately 27 million patients are given anesthesia for surgical procedures; of these, approximately 50,000 patients have a perioperative myocardial infarction. 2 The pathophysiology of an acute perioperative myocardial infarction is p...
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BACKGROUND Patients undergoing major vascular surgery are at increased risk of perioperative mortality due to underlying coronary artery disease. Inhibitors of the 3-hydroxy-3-methylglutaryl coenzyme A (statins) may reduce perioperative mortality through the improvement of lipid profile, but also through the stabilization of coronary plaques on the vascular wall. METHODS AND RESULTS To evalua...
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BACKGROUND The American College of Physicians recommends perioperative use of beta-blockers for certain patients to improve outcomes after surgery. Study of physician behavior with respect to guidelines and recommended practices have shown that beta-blockers have been underutilized after myocardial infarction. We evaluated physician concordance with the perioperative use of beta-blockers along ...
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