A 61-year-old undergoing elective noncardiac surgery had an MI 2 years ago, LVEF 40%, and good functional capacity (≥4 METs). Which perioperative beta...

Question

A 61-year-old undergoing elective noncardiac surgery had an MI 2 years ago, LVEF 40%, and good functional capacity (≥4 METs). Which perioperative beta-blocker approach is recommended?

Accepted Answer

Continue chronic beta-blocker; avoid starting de novo day-of

Answer

Initiate high-dose beta-blocker on day of surgery

Answer

Stop beta-blocker 48 hours preop

Answer

Start amiodarone for prevention of arrhythmias

Answer

Avoid beta-blockers in anyone with prior MI

us-abim MCQ (SBA): Perioperative Cardiac Management

A 61-year-old undergoing elective noncardiac surgery had an MI 2 years ago, LVEF 40%, and good functional capacity (≥4 METs). Which perioperative beta-blocker approach is recommended?