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Peri‐operative β‐blockade and haemodynamic optimisation in patients with coronary artery disease and decreasing exercise capacity presenting for major noncardiac surgery
Author(s) -
Biccard B. M.
Publication year - 2004
Publication title -
anaesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.839
H-Index - 117
eISSN - 1365-2044
pISSN - 0003-2409
DOI - 10.1111/j.1365-2044.2004.03455.x
Subject(s) - medicine , blockade , hemodynamics , coronary artery disease , cardiology , perioperative , anesthesia , receptor
Summary Patients with coronary artery disease presenting for major noncardiac surgery may have indications for both peri‐operative β‐blockade and haemodynamic optimisation. The combination of peri‐operative cardiorespiratory failure and myocardial ischaemia has a grave prognosis. Recent investigations have shown that in patients with coronary artery disease, β‐blockade does not depress cardiac output as much as originally thought. There may, therefore, be a place for both peri‐operative β‐blockade and haemodynamic optimisation. The indications for peri‐operative β‐blockade and haemodynamic optimisation, the effect of acute β‐blockade on cardiac output in patients with coronary artery disease, and the interaction of peri‐operative β‐blockade and haemodynamic optimisation are discussed.