reducing perioperative cardiac complications: statins
Post on 07-May-2015
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Review of 2 metaanalyses of RCTs on the effects of statins in the perioperative period. Watch my YouTube video describing these slides: http://youtu.be/wHYlf26AH00
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Reducing Perioperative Cardiac Risk:Statins
Terry Shaneyfelt, MD, MPHAssoc. Professor, UAB Department of Medicine
Devereaux PJ et al., CMAJ 2005; 173:627
Cochrane Review: Statins in Vascular SurgeryData Review Through July 2012
All-cause Mortality
Nonfatal MI
Effect of Perioperative Statins on Death, MI, Afib, and LOS: A Systematic Review
Arch Surg 2012;147:181 nonvasc, noncardiac vascular
• Statins should be continued in patients currently taking statins (I)
• Reasonable to give statins in patients undergoing vascular surgery (IIa)
• Consider statins in patients with ≥ 1 risk factor undergoing intermediate or high risk procedures (IIb)
Current ACC/AHA 2014 Recommendations
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