Failure to achieve target heart rates during perioperative beta blockade for noncardiac surgery Journal Article

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Authors: Kleinman, B.; Jellish, W. S.; Wall, M. J.; Vis, L.
Article Title: Failure to achieve target heart rates during perioperative beta blockade for noncardiac surgery
Abstract: Objective: To describe a quality assurance project aimed at reducing the incidence of perioperative myocardial infarction and death in patients undergoing noncardiac surgery. Methods: Patients older than age 50 years and undergoing major orthopedic, upper abdominal, major urologic, major vascular, or thoracic surgery received the beta blocker protocol. A total of 762 patients were prescribed beta-blocker therapy in the immediate perioperative period. Results: Despite our intensive effort, we were unable to meet target heart rates (55-65 bpm) in the vast majority of patients. This was especially noted to occur on postoperative days 1 and 2 when fixed-dose administration of beta blocker was utilized. Conclusion: Control of perioperative heart rates is difficult. Failure to reduce the incidence of perioperative myocardial infarction may be related to our inability to effectively control perioperative heart rates.
Journal Title: Journal of Clinical Outcomes Management
Volume: 19
Issue: 2
ISSN: 1079-6533
Publisher: Unknown  
Date Published: 2012
Start Page: 61
End Page: 66
Language: English
Notes: ID: 12215; JS: Double Blind Peer Reviewed; JS: Editorial Board Reviewed; JS: Expert Peer Reviewed; JS: Health Services Administration; JS: Peer Reviewed; JS: USA; EM: 20120413