Home » 1) Cardiovascular Risk » Medical Interventions to Reduce Perioperative Cardiac Risk

Medical Interventions to Reduce Perioperative Cardiac Risk

Guiding Question:
Do medications we commonly prescribe for secondary prevention of CAD have similar benefits in the perioperative period?

 

After estimating a patient’s risk of perioperative cardiac events you then have to decide if that risk can and should be reduced with medical or nonmedical interventions. A variety of medications commonly used for secondary prevention of CAD have also been studied for their utility in preventing perioperative cardiovascular events and death.

 

Learning Objectives:

  • Prescribe medications shown to reduce perioperative cardiovascular events (R2, R3)

 

Review case 5  for this section of the module.

 

Learning Resources:
Readings:

  1. 2014 ACC Guidelines  pgs 42-54.
  2. Perioperative statin therapy for improving outcomes during and after noncardiac vascular surgery (just review the summary pdf and figures)
  3. Effect of perioperative statins on death, mi, atrial fibrillation, and length of stay  (has additional outcomes that the Cochrane review didn’t)
  4. Meta-analysis of secure randomised controlled trials of β-blockade to prevent perioperative death in non-cardiac surgery
  5. Perioperative beta blockade in noncardiac surgery: A systematic review for the 2014 ACC/AHA guideline on perioperative cardiovascular evaluation and management of patients undergoing noncardiac surgery (gives similar results to #4 but was specifically done for the updated guideline)

Videos: (Total viewing time: 17:04)

  1. Reducing Perioperative Cardiac Risk: Do Statins Help? (5:42)
  2. Reducing Perioperative Cardiac Risk: Do Beta-blockers Help? (11:22)

Annotated PowerPoint Slides: (Note: To download the slides click “Save” at the top of the presentation. After downloading, click on the “View” tab and view as “Notes Page”)

  1. Reducing Perioperative Cardiac Risk: Do statins Help? (6 slides)
  2. Reducing Perioperative Cardiac Risk: Do Beta blockers Help? (16 slides)