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The American College of Cardiology, American Heart Association and the European Society of Cardiology are all in the process of completing updated versions of our Guidelines for Perioperative Care. Our respective writing committees are undertaking a careful analysis of all relevant validated studies and always incorporate appropriate new trials and meta-analyses into our evidence review. In the interim, our current joint position is that the initiation of beta blockers in patients who will undergo non-cardiac surgery should not be considered routine, but should be considered carefully by each patient’s treating physician on a case-by-case basis.
Pre-operative Cardiac Risk Assessment and Perioperative Cardiac Management in Non-Cardiac Surgery
Our mission: To reduce the burden of cardiovascular disease
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