Use of beta-blockers in the perioperative period: how strong are the evidences?

被引：0

作者：

Samoylenko, V. V. ^{[1
]}

Shevchenko, O. P. ^{[1
]}

Burtsev, V. I. ^{[2
]}

机构：

[1] Russian Natl Res Med Univ, Ostrovitianova Ul 1, Moscow 117997, Russia

[2] IM Setchenov First Moscow State Med Univ, Moscow 119991, Russia

来源：

RATIONAL PHARMACOTHERAPY IN CARDIOLOGY | 2013年 / 9卷 / 04期

关键词：

beta-blockers; postoperative period; cardiovascular complications;

D O I：

10.20996/1819-6446-2013-9-4-420-426

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

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.

引用

页码：420 / 426

页数：7

共 34 条

[11] ACC/AHA 2006 Guideline Update on Perioperative Cardiovascular Evaluation for Noncardiac Surgery: Focused Update on Perioperative Beta-Blocker Therapy: A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Update the 2002 Guidelines on Perioperative Cardiovascular Evaluation for Noncardiac Surgery): Developed in Collaboration With the American Society of Echocardiography, American Society of Nuclear Cardiology, Heart Rhythm Society, Society of Cardiovascular Anesthesiologists, Society for Cardiovascular Angiography and Interventions, and Society for Vascular Medicine and Biology [J].

Fleisher, Lee A. ;

Beckman, Joshua A. ;

Brown, Kenneth A. ;

Calkins, Hugh ;

Chaikof, Elliott ;

Fleischmann, Kirsten E. ;

Freeman, William K. ;

Froehlich, James B. ;

Kasper, Edward K. ;

Kersten, Judy R. ;

Riegel, Barbara ;

Robb, John F. ;

Smith, Sidney C., Jr. ;

Jacobs, Alice K. ;

Adams, Cynthia D. ;

Anderson, Jeffrey L. ;

Antman, Elliott M. ;

Faxon, David P. ;

Fuster, Valentin ;

Halperin, Jonathan L. ;

Hiratzka, Loren F. ;

Hunt, Sharon A. ;

Lytle, Bruce W. ;

Nishimura, Rick ;

Page, Richard L. ;

Riegel, Barbara .

CIRCULATION, 2006, 113 (22) :2662-2674

[12] 2009 ACCF/AHA Focused Update on Perioperative Beta Blockade Incorporated Into the ACC/AHA 2007 Guidelines on Perioperative Cardiovascular Evaluation and Care for Noncardiac Surgery A Report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines [J].

Fleisher, Lee A. ;

Beckman, Joshua A. ;

Brown, Kenneth A. ;

Calkins, Hugh ;

Chaikof, Elliot L. ;

Fleischmann, Kirsten E. ;

Freeman, William K. ;

Froehlich, James B. ;

Kasper, Edward K. ;

Kersten, Judy R. ;

Riegel, Barbara ;

Robb, John F. ;

Buller, Christopher E. ;

Valentine, R. James ;

Jacobs, Alice K. ;

Smith, Sidney C., Jr. ;

Anderson, Jeffrey L. ;

Creager, Mark A. ;

Ettinger, Steven M. ;

Guyton, Robert A. ;

Halperin, Jonathan L. ;

Hochman, Judith S. ;

Krumholz, Harlan M. ;

Kushner, Frederick G. ;

Lytle, Bruce W. ;

Nishimura, Rick ;

Page, Richard L. ;

Stevenson, William G. ;

Tarkington, Lynn G. ;

Yancy, Clyde W. .

CIRCULATION, 2009, 120 (21) :E169-E276

[13] Effect of perioperative β blockade in patients with diabetes undergoing major non-cardiac surgery:: randomised placebo controlled, blinded multicentre trial [J].

Juul, A. B. .

BMJ-BRITISH MEDICAL JOURNAL, 2006, 332 (7556) :1482-1485

[14] Possible indications of beta-blockers in the perioperative period other than prevention of cardiac ischemia [J].

Kadoi, Yuji ;

Saito, Shigeru .

JOURNAL OF ANESTHESIA, 2010, 24 (01) :81-95

[15] BRAZILIAN DIRECTOR OF CARDIO-ONCOLOGY OF THE BRAZILIAN CARDIOLOGY SOCIETY ACHIEVEMENT [J].

Kalil Filho, Roberto ;

Hajjar, Ludhmila Abrahao ;

Bacal, Fernando ;

Gehm Hoff, Paulo Marcelo ;

Estevez Diz, Maria Del Pilar ;

Barbosa Gomes Galas, Filomena Regina ;

Fukushima, Julia Tizue ;

de Almeida, Juliano Pinheiro ;

Nakamura, Rosana Ely ;

Trielli, Thalia Rodrigues ;

Bittar, Cristina Salvadori ;

dos Santos, Marilia Harumi ;

Galdeano, Flavia Gomes ;

da Costa Auler Junior, Jose Otavio ;

Silvestrini, Anderson Arantes ;

Alencar, Aristoteles ;

de Andrade Mota, Augusto Cesar ;

Buarque de Gusmao, Cid Abreu ;

Almeida, Dirceu Rodrigues ;

Simoes, Claudia Marques ;

Bocchi, Edimar Alcides ;

de Lima, Enaldo Melo ;

Fernandes, Fabio ;

Silveira, Fabio Serra ;

Vilas-Boas, Fabio ;

da Silva Neto, Luis Beck ;

Paim Rohde, Luis Eduardo ;

Montera, Marcelo Westerlund ;

Barbosa, Marcia ;

Mano, Max Senna ;

Riechelmann, Rachel Simoes ;

Arai, Roberto Jun ;

Martins, Silvia M. ;

Ayub Ferreira, Silvia Moreira ;

Santos, Veronica .

ARQUIVOS BRASILEIROS DE CARDIOLOGIA, 2011, 96 (02) :1-52

[16] Perioperative beta-blocker therapy and mortality after major noncardiac surgery [J].

Lindenauer, PK ;

Pekow, P ;

Wang, KJ ;

Mamidi, DK ;

Gutierrez, B ;

Benjamin, EM .

NEW ENGLAND JOURNAL OF MEDICINE, 2005, 353 (04) :349-361

[17] Association of Perioperative β-Blockade With Mortality and Cardiovascular Morbidity Following Major Noncardiac Surgery [J].

London, Martin J. ;

Hur, Kwan ;

Schwartz, Gregory G. ;

Henderson, William G. .

JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2013, 309 (16) :1704-1713

[18] Effect of atenolol on mortality and cardiovascular morbidity after noncardiac surgery [J].

Mangano, DT ;

Layug, EL ;

Wallace, A ;

Tateo, I .

NEW ENGLAND JOURNAL OF MEDICINE, 1996, 335 (23) :1713-1720

[19] Genetic Variation, β-blockers, and Perioperative Myocardial Infarction [J].

Nagele, Peter ;

Liggett, Stephen B. .

ANESTHESIOLOGY, 2011, 115 (06) :1316-1327

[20]

Palda VA, 1997, ANN INTERN MED, V127, P313, DOI 10.7326/0003-4819-127-4-199708150-00012

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