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Description

  • 2011 ACCF/AHA Guidelines for CABG: Uncertain about the safety of the preoperative administration of ACE inhibitors or ARBs in patients on chronic therapy and the safety of initiating ACE inhibitors or ARBs before hospital discharge
  • 2014 ESC Guidelines: ACE inhibitors might be stopped 1 to 2 days before CABG to avoid the potential deleterious consequences of perioperative hypotension
  • Guidelines state that ACE inhibitors or ARBs should be initiated postoperatively in CABG patients who were not receiving them preoperatively if they have an LVEF ≤40%, hypertension, diabetes, or CKD (Level of Evidence: A)
  • There is still a lack of large clinical studies on the effects of perioperative use of RASi and long-term outcomes in cardiac surgery

Publication Date

10-19-2019

Keywords

cardiac surgery, ACE inhibitor, ARB, mortality, perioperative, renin-angiotensin system inhibitor

Disciplines

Anesthesiology | Cardiology | Medicine and Health Sciences | Surgery

Comments

Presented at Anesthesiology 2019

Document Type

Poster

Does Perioperative Use of Renin-Angiotensin System Inhibitors Improve Patient Outcomes in Cardiac Surgery?

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