Drugs in the peri-operative period: 4--Cardiovascular drugs

Area of Science:

• Cardiology
• Anesthesiology
• Pharmacology

Background:

• Many patients require elective surgery and are on cardiovascular medications.
• Managing these medications peri-operatively is crucial for patient safety.

Purpose of the Study:

• To review the management of patients on specific cardiovascular drugs during the peri-operative period.
• To provide guidance on drug therapy for antithrombotic, antihypertensive, anti-anginal, and anti-arrhythmic medications.

Main Methods:

• Literature review of current guidelines and evidence.
• Synthesis of management strategies for common cardiovascular drug classes.
• Focus on drug discontinuation, continuation, or modification around the time of surgery.

Main Results:

• Specific recommendations for managing antithrombotic agents.
• Guidance on adjusting antihypertensive therapies.
• Strategies for anti-anginal and anti-arrhythmic drug management.
• Consideration of drug interactions and patient-specific factors.

Conclusions:

• Optimal peri-operative management of cardiovascular drugs is essential.
• Tailored approaches are necessary based on drug class and patient condition.
• This review provides a framework for safe and effective drug therapy during elective surgery.