A 66-year-old scheduled for elective noncardiac surgery has been on metoprolol for years. According to perioperative guidelines, how should beta-block...

Question

A 66-year-old scheduled for elective noncardiac surgery has been on metoprolol for years. According to perioperative guidelines, how should beta-blockers be managed?

Accepted Answer

Continue beta-blocker on the day of surgery and post-op

Answer

how should beta-blockers be managed?

Answer

Stop beta-blocker 48 hours pre-op to avoid intraoperative bradycardia

Answer

Double the beta-blocker dose on the day of surgery

Answer

Start high-dose beta-blocker the morning of surgery if ischemic risk is intermediate

Perioperative Cardiovascular Management — MRCP Part 1 MCQ

A 66-year-old scheduled for elective noncardiac surgery has been on metoprolol for years. According to perioperative guidelines, how should beta-blockers be managed?