Abstract
One of the pressing problems of modern cardiology is the cardiac complications risk evaluation and correction in noncardiac surgery. Recent international guidelines on this issue have focused on the pharmacological prevention of complications while reducing the preoperative examination and preventive revascularization. The reason for this experts position has been a series of studies DECREASE, performed in the Erasmus Medical Center (The Netherlands) under the supervision of Professor D. Poldermans. However, this summer the results of these studies have found no scientific value because of the significant irregularities in their conduct. It makes to have a new look at the problem of perioperative medicine, to rethink the available scientific evidence. In this review we discussed in detail the use of beta-blockers in noncardiac surgery in view of new circumstances.
Highlights
Одной из актуальных проблем современной кардиологии остается оценка и коррекция риска кардиальных осложнений при некардиальных операциях
Recent international guidelines on this issue have focused on the pharmacological prevention of complications while reducing the preoperative examination and preventive revascularization. The reason for this experts position has been a series of studies DECREASE, performed in the Erasmus Medical Center (The Netherlands) under the supervision of Professor D
In this review we discussed in detail the use of beta-blockers in noncardiac surgery in view of new circumstances
Summary
Одной из актуальных проблем современной кардиологии остается оценка и коррекция риска кардиальных осложнений при некардиальных операциях. Оценка и снижение риска кардиальных осложнений при некардиальных операциях блокаторов (БАБ) в снижении кардиальной смертности при некардиальных операциях, было DECREASE (Dutch Echocardiographic Cardiac Risk Evaluation Applying Stress Echocardiography Study) [9,10]. В это исследование была включена группа больных высокого риска с доказанной ИБС, которым проводили операции на сосудах (процедура высокого риска), и было показано, что назначение БАБ существенно снижает риск кардиальных смертей и инфаркта миокарда (ИМ) непосредственно после операции и при дальнейшем наблюдении.
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