USE OF BETA-BLOCKERS IN THE PERIOPERATIVE PERIOD: HOW STRONG ARE THE EVIDENCES?

Optimization of the pharmacotherapy in preoperative period is the cornerstone of the concept of risk modification of cardiovascular complications in the perioperative period. Therefore, special attention has recently been focused on the use of beta-blockers in the postoperative period. Nowadays conv...

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Main Authors: V. V. Samoylenko, O. P. Shevchenko, V. I. Burtsev
Format: Article
Language:English
Published: Столичная издательская компания 2015-09-01
Series:Рациональная фармакотерапия в кардиологии
Subjects:
Online Access:https://www.rpcardio.online/jour/article/view/107
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author V. V. Samoylenko
O. P. Shevchenko
V. I. Burtsev
author_facet V. V. Samoylenko
O. P. Shevchenko
V. I. Burtsev
author_sort V. V. Samoylenko
collection DOAJ
description Optimization of the pharmacotherapy in preoperative period is the cornerstone of the concept of risk modification of cardiovascular complications in the perioperative period. Therefore, special attention has recently been focused on the use of beta-blockers in the postoperative period. Nowadays convincing evidence base for the use of this class of drugs in the perioperative period that was the basis for the development of clinical guidelines is accumulated. Moreover, results of large randomized trials of beta-blockers are controversial. This has resulted in significant differences in the classes of recommendations and levels of evidence.Analysis of the results of basic researches and the provisions of recommendations of the international and national professional medical societies on the use of beta-blockers in patients with cardiovascular disease to reduce the risk of cardiac complications in the perioperative period for planned extracardiac surgical procedures is presented.
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spelling doaj.art-4ade0349f81041c4af2c58b8801ed5592024-04-01T07:43:21ZengСтоличная издательская компанияРациональная фармакотерапия в кардиологии1819-64462225-36532015-09-019442042610.20996/1819-6446-2013-9-4-420-426106USE OF BETA-BLOCKERS IN THE PERIOPERATIVE PERIOD: HOW STRONG ARE THE EVIDENCES?V. V. Samoylenko0O. P. Shevchenko1V. I. Burtsev2Russian National Research Medical University named after N.I. Pirogov, MoscowRussian National Research Medical University named after N.I. Pirogov, MoscowI.M. Setchenov First Moscow State Medical University, MoscowOptimization of the pharmacotherapy in preoperative period is the cornerstone of the concept of risk modification of cardiovascular complications in the perioperative period. Therefore, special attention has recently been focused on the use of beta-blockers in the postoperative period. Nowadays convincing evidence base for the use of this class of drugs in the perioperative period that was the basis for the development of clinical guidelines is accumulated. Moreover, results of large randomized trials of beta-blockers are controversial. This has resulted in significant differences in the classes of recommendations and levels of evidence.Analysis of the results of basic researches and the provisions of recommendations of the international and national professional medical societies on the use of beta-blockers in patients with cardiovascular disease to reduce the risk of cardiac complications in the perioperative period for planned extracardiac surgical procedures is presented.https://www.rpcardio.online/jour/article/view/107beta-blockerspostoperative periodcardiovascular complications
spellingShingle V. V. Samoylenko
O. P. Shevchenko
V. I. Burtsev
USE OF BETA-BLOCKERS IN THE PERIOPERATIVE PERIOD: HOW STRONG ARE THE EVIDENCES?
Рациональная фармакотерапия в кардиологии
beta-blockers
postoperative period
cardiovascular complications
title USE OF BETA-BLOCKERS IN THE PERIOPERATIVE PERIOD: HOW STRONG ARE THE EVIDENCES?
title_full USE OF BETA-BLOCKERS IN THE PERIOPERATIVE PERIOD: HOW STRONG ARE THE EVIDENCES?
title_fullStr USE OF BETA-BLOCKERS IN THE PERIOPERATIVE PERIOD: HOW STRONG ARE THE EVIDENCES?
title_full_unstemmed USE OF BETA-BLOCKERS IN THE PERIOPERATIVE PERIOD: HOW STRONG ARE THE EVIDENCES?
title_short USE OF BETA-BLOCKERS IN THE PERIOPERATIVE PERIOD: HOW STRONG ARE THE EVIDENCES?
title_sort use of beta blockers in the perioperative period how strong are the evidences
topic beta-blockers
postoperative period
cardiovascular complications
url https://www.rpcardio.online/jour/article/view/107
work_keys_str_mv AT vvsamoylenko useofbetablockersintheperioperativeperiodhowstrongaretheevidences
AT opshevchenko useofbetablockersintheperioperativeperiodhowstrongaretheevidences
AT viburtsev useofbetablockersintheperioperativeperiodhowstrongaretheevidences