• Rev Esp Anestesiol Reanim · Dec 2005

    Review

    [Perioperative use of beta-blockers in noncardiac surgery].

    • P Cruz Pardos, C Fernańdez Riveira, and I Garutti.
    • Servicio de Anestesiología, Reanimación y Tratamiento del Dolor, Hospital General Universitario Gregorio Marañón, Madrid. triciacp@eresmas.com
    • Rev Esp Anestesiol Reanim. 2005 Dec 1;52(10):617-26; quiz 626, 630.

    AbstractA variety of strategies have been used to reduce the high prevalence and mortality rates of cardiac complications in patients undergoing noncardiac surgery. One approach taken is to prescribe agents that block beta-adrenergic receptors. The effect of beta-blockers on myocardial ischemia is multifactorial: they correct myocardial oxygen imbalance, prevent rupture of atheromatous plaque, and reduce coronary vasoconstriction. We summarize the results of several recently published studies that confirm the beneficial effects and the low incidence of side effects.

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