Question

A 71-year-old on chronic metoprolol for CAD and hypertension is scheduled for hip arthroplasty. What is the recommended peri-operative beta-blocker plan?

Accepted Answer

Continue beta-blocker

Answer

Stop beta-blocker 48 hours pre-op

Answer

Up-titrate to achieve HR <50 bpm pre-op

Answer

Switch to short-acting diltiazem

Answer

Start new high-dose beta-blocker day of surgery

Practice question

A 71-year-old on chronic metoprolol for CAD and hypertension is scheduled for hip arthroplasty. What is the recommended peri-operative beta-blocker plan?