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FEBRUARY 6, 2018

Resume Beta Blockers by End of First Post-op Day to Avoid A-Fib

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Ashish Khanna, MD

Boston—When is the best time to resume beta blockade in chronic users after noncardiac surgery to most effectively prevent postoperative atrial fibrillation?

Although this question has been in flux for years, a retrospective cohort analysis concluded that resuming beta blockers before the end of postoperative day 1 is optimal for decreasing the incidence of atrial fibrillation after these procedures.

“In the cardiac surgical population, perioperative beta blockade