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Perioperative Beta Blockade - A Case Report

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Author(s): Sunitha K. Zachariah | Sujatha Basker | Shalini Cynthia | Ekta Rai

Journal: Indian Anaesthetists' Forum
ISSN 0973-0311

Volume: 10;
Issue: 11;
Start page: 1;
Date: 2009;
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Keywords: Intraoperative | hypotension | anaesthesia | antihypertensives

ABSTRACT
Continuation of antihypertensives preoperatively and their influence on intraoperative hemodynamics is a big concern among anesthesiologists. The Peri Operative Ischaemia Study Evaluation (POISE) trial showed a significant reduction of myocardial infarction, need for coronary revascularization and the incidence of atrial fibrillation with metoprolol started 2-4 hours prior to surgery but a significant increase in total mortality and clinically significant hypotension and bradycardia. This is a case report of intraoperative severe bradycardia in a young patient on recently started beta blocker.
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