Journal ArticleDOI
Effect of atenolol on mortality and cardiovascular morbidity after noncardiac surgery. Multicenter Study of Perioperative Ischemia Research Group.
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TLDR
In patients who have or are at risk for coronary artery disease who must undergo noncardiac surgery, treatment with atenolol during hospitalization can reduce mortality and the incidence of cardiovascular complications for as long as two years after surgery.Abstract:
Background Perioperative myocardial ischemia is the single most important potentially reversible risk factor for mortality and cardiovascular complications after noncardiac surgery. Although more than 1 million patients have such complications annually, there is no effective preventive therapy. Methods We performed a randomized, double-blind, placebo-controlled trial to compare the effect of atenolol with that of a placebo on overall survival and cardiovascular morbidity in patients with or at risk for coronary artery disease who were undergoing noncardiac surgery. Atenolol was given intravenously before and immediately after surgery and orally thereafter for the duration of hospitalization. Patients were followed over the subsequent two years. Results A total of 200 patients were enrolled. Ninety-nine were assigned to the atenolol group, and 101 to the placebo group. One hundred ninety-four patients survived to be discharged from the hospital, and 192 of these were followed for two years. Overall mortali...read more
Citations
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Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure
Aram V. Chobanian,George L. Bakris,Henry R. Black,William C. Cushman,Lee A. Green,Joseph L. Izzo,Daniel W. Jones,Barry J. Materson,Suzanne Oparil,Jackson T. Wright,Edward J. Roccella +10 more
TL;DR: In those older than age 50, systolic blood pressure of greater than 140 mm Hg is a more important cardiovascular disease (CVD) risk factor than diastolic BP, and hypertension will be controlled only if patients are motivated to stay on their treatment plan.
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2013 ACC/AHA Guideline on the Assessment of Cardiovascular Risk
David C. Goff,Donald M. Lloyd-Jones,Faha Glen Bennett,Sean Coady,Jennifer G. Robinson,J. Sanford Schwartz,Raymond J. Gibbons,Susan T. Shero,Philip Greenland,Sidney C. Smith,Daniel T. Lackland,Paul D. Sorlie,Daniel Levy,Neil J. Stone +13 more
TL;DR: The ACC and AHA have collaborated with the National Heart, Lung, and Blood Institute and stakeholder and professional organizations to develop guidelines, standards, and policies that promote optimal patient care and cardiovascular health.
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Derivation and Prospective Validation of a Simple Index for Prediction of Cardiac Risk of Major Noncardiac Surgery
Thomas H. Lee,Edward R. Marcantonio,Carol M. Mangione,Eric J. Thomas,Carisi Anne Polanczyk,E. F. Cook,D. J. Sugarbaker,M. C. Donaldson,Robert Poss,Kalon K.L. Ho,L. E. Ludwig,A. Pedan,Lee Goldman +12 more
TL;DR: In stable patients undergoing nonurgent major noncardiac surgery, this index can identify patients at higher risk for complications and may be useful for identification of candidates for further risk stratification with noninvasive technologies or other management strategies.
The Sixth Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure (NIH Publication No. 98-4080)
Black Hr,Cohen Jd,Kaplan Nm,Ferdinand Kc,Chobanian Av,Dustan Hp,Gifford Rw,M. Moser,Sheps Sg,L. Agodoa,August Pa,Bakris Gl,V. Burt,W. Busse,Carter Bl,Chesley Fd,J. Cleeman,Cohn Jn,Cregler Ll,C. Crespo,Cushman Wc,J. Cutler,Darrow Md,DeQuattro Vl,Devereux Rb,Dworkin Ld,Elliott Wj,M. Epstein,B. Falkner,Ferrario Cm,Flack Jm,W. Frishman,Frohlich Ed,Green La,Grimm Rh,Hagberg Jm,Hall Wd,J. Handler,S. Havas,Hill Mn,Horan Mj,Hsueh Wa,Hyman Bn,Izzo Jl,K. Jamerson,Kiley Jp,Kochar Ms,Kolasa Km,Krakoff Lr,D. Levy,Lindheimer Md,Luepker Rv,Malone Mel,B. Massie,Materson Bj,J. Merchant,Messerli Fh,Miller Nh,Moore Ma,L. MustoneAlexander,S. Oparil,Perry Hm,Pickering Tg,Pratt Jh,Ram Cvs,Randall Os,Reed Jw,Roberts Rw,Roccella Ej,Rogus Sd,E. Saunders,E. Schron,G. Schwartz,Sibai Bm,D. Snyder,Sowers Jr,J. Stamler,R. Temple,S. Textor,T. Thom,Vidt Dg,M. Weber,Weinberger Mh,R. Weinshilboum,Whelton Pk,Whisnant Jp,Wiebers Do,Winston Mc,Wright Jt,C. Lenfant,L. Casser,Colman Pj,T. Edwards,Feeley Dm,J. Gajewski,D. Levine,W. Manger,Marshall Ec,Nickey Wa,Robert Rw,Secrest Bg,Singer Eh,Wilson Gj,Young Jm,Bachman Jw,Campese Vm,Carr Aa,M. Hand,Holden Dc,Jamieson Mj,S. Julius,Mensah Ga,M. Prisant,Sullivan Jm,Wilson Dj,G. Morosco,Anderson De,D. Waugh +117 more
TL;DR: In older persons, diuretics are preferred and long-acting dihydropyridine calcium antagonists may be considered and specific therapy for patients with LVH, coronary artery disease, and heart failure are outlined.
Journal ArticleDOI
2014 ACC/AHA guideline on perioperative cardiovascular evaluation and management of patients undergoing noncardiac surgery: A report of the American college of cardiology/American heart association task force on practice guidelines
Lee A. Fleisher,Kirsten E. Fleischmann,Andrew D. Auerbach,Susan Barnason,Joshua A. Beckman,Biykem Bozkurt,Victor G. Davila-Roman,Marie Gerhard-Herman,Thomas A. Holly,Garvan C. Kane,Joseph E. Marine,M. Timothy Nelson,Crystal C. Spencer,Annemarie Thompson,Henry H. Ting,Barry F. Uretsky,Duminda N. Wijeysundera +16 more
TL;DR: The 2017-18 FACC/FAHA curriculum vitae will focus on adolescent and young adult FACC and FAHA education, as well as leadership, self-confidence, and self-consistency.
References
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