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Volume 342:1051-1053 April 6, 2000 Number 14
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Beta-Blockade for Patients Undergoing Vascular Surgery

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 by Lee, T. H.
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 by Poldermans, D.
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To the Editor: Poldermans et al. (Dec. 9 issue)1 reported a reduction in the incidence of death and myocardial infarction after vascular surgery among patients who were pretreated with the beta-blocking drug bisoprolol, as compared with those who were not pretreated. Patients were included in the study if the results of dobutamine echocardiography were positive, indicating a high risk of complications of vascular surgery. The authors predicted that the perioperative event rate in this population would be 28 percent. Patients who did not receive beta-blockers were characterized as receiving "standard care."

Beta-blocker therapy with atenolol before vascular surgery has been . . . [Full Text of this Article]

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