title: Beta-blockers in vascular surgery patients: is the debate still going on?
abstract: Patients undergoing vascular surgery are under increased risk for perioperative myocardial ischemia and cardiovascular complications, and optimal medical treatment is therefore imperative for these patients. Beta-blockade has been introduced as a cornerstone of optimal management, and standardized preoperative initiation has been recommended in the past. However, recent pooled data have questioned prior recommendations and have led to revision of international guidelines. This review aims to highlight the debate on perioperative beta-blockade for vascular surgery patients in order to produce useful conclusions for everyday clinical practice.
authors: Vascular Surgery Division, First Propedeutic Department of Surgery, University of Athens Medical School, Hippocration Hospital, 6 Melinas Merkouri Str., Neon Irakleion, 14122, Athens, Greece. georgegalyfos@hotmail.com.|Department of Vascular Surgery, KAT General Hospital, Athens, Greece. georgegalyfos@hotmail.com.
authors: George
authors: 0000-0002-6077-007X
authors: G
authors: Galyfos
authors: Vascular Surgery Division, First Propedeutic Department of Surgery, University of Athens Medical School, Hippocration Hospital, 6 Melinas Merkouri Str., Neon Irakleion, 14122, Athens, Greece.
authors: Konstantinos
authors: K
authors: Filis
authors: Vascular Surgery Division, First Propedeutic Department of Surgery, University of Athens Medical School, Hippocration Hospital, 6 Melinas Merkouri Str., Neon Irakleion, 14122, Athens, Greece.
authors: Fragiska
authors: F
authors: Sigala
authors: Department of Vascular Surgery, KAT General Hospital, Athens, Greece.
authors: Georgios
authors: G
authors: Geropapas
mesh_terms: D000319:Adrenergic beta-Antagonists / Q000627:therapeutic use*; D002318:Cardiovascular Diseases / Q000209:etiology; D003324:Coronary Artery Disease / Q000209:etiology; D006801:Humans; D019990:Perioperative Care / Q000379:methods; D012306:Risk; D014656:Vascular Surgical Procedures / Q000009:adverse effects / Q000379:methods*
chemical_list: D000319:Adrenergic beta-Antagonists
keywords: Beta-blockers; Perioperative management; Vascular surgery