A 68-year-old with stable coronary disease and well-controlled hypertension is scheduled for elective noncardiac surgery. He takes metoprolol succinat...

Question

A 68-year-old with stable coronary disease and well-controlled hypertension is scheduled for elective noncardiac surgery. He takes metoprolol succinate and empagliflozin. What is the best perioperative medication plan?

Accepted Answer

Continue chronic beta-blocker and hold SGLT2 inhibitor 3-4 days before surgery

Answer

Stop beta-blocker 3 days prior; continue SGLT2 inhibitor

Answer

Continue both medications unchanged

Answer

Hold beta-blocker the morning of surgery only

Answer

Switch beta-blocker to a short-acting calcium channel blocker

us-abim MCQ (SBA): Perioperative Cardiovascular Management

A 68-year-old with stable coronary disease and well-controlled hypertension is scheduled for elective noncardiac surgery. He takes metoprolol succinate and empagliflozin. What is the best perioperative medication plan?