Preoperative Cardiac Evaluation & Perioperative Care

Articles

1. “Derivation
and Prospective Validation of a Simple Index for Prediction of Cardiac Risk of
Major Noncardiac Surgery.”  Lee, Marcantonio, Mangione et al,
Circulation 1999; 100; 1043-1049.

2. American
College of Cardiology/American Heart Association Guidelines

3.
“Perioperative Beta-Blocker Therapy and Mortality after Major Noncardiac
Surgery”  Lindenaur et al.  NEJM 353;4 July 28, 2005 p. 349

4.
“Beta-Blocker Therapy in Noncardiac Surgery” Don Poldermans, M.D.,
NEJM 353;4 July 28, 2005, p.412-13.

5. “Update
in Perioperative Medicine”  Smetana, Gerald et al.  Annals
of Intern Medicine 2004:140;452-61. Read section on Cardiac Risk
Stratification and Risk Reduction Strategies

Dr. Cohen’s Lecture Slides(requires powerpoint
to open)

Beta-Blockers Journal Club

Perioperative Beta Blockers and Reduction of
Cardiac Events in Non-Cardiac Surgery  JAMA March 20, 2002.
Prior to the group session, read the “Scientific Review” which summarizes the
major trials of perioperative beta-blocker use.  Also read the new Lancet
article and accompanying editorial.  At the group session, go
over the cases in the “Clinical Applications”  and discuss how the evidence
from clinical trials can or cannot be applied to particular clinical cases.

        Scientific
Review

Clinical
Applications

       

“Eff ects of extended-release metoprolol succinate in
patients undergoing non-cardiac surgery (POISE trial): a randomised
controlled trial”

        The Lancet, Volume 371, May 3, 2008

“Perioperative Beta Blockade:  Where do we go from
here?”