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Perioperative statin use: Continue seamlessly

April 19, 2008

In my previous post i talked about use of beta blockers in perioperatively.The ACC guideline for perioperative evaluation and management of patients undergoing noncardiac surgery now give statins virtually equal status with beta blockers, recommending that patients already taking statins have them continued throughout the perioperative period.
This study is of interest to us physicians
Interruption of statin use was associated with increased early postoperative cardiac events. The problem though is patients undergoing higher risk surgeries such as abdominal aortic procedures had longer interruptions in statin therapy because of NPO for longer periods.They suggest that administration of an extended release statin before surgery may help bridge the gap. Extended release statin can be used before surgery.. Fluvastatin (Lescol XL) is the only extended release statin available.
A recent study is published in annals of Surgery discussing statins and perioperative risk reduction.

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