Highlights a significant gap in the perioperative continuation of chronic cardiovascular medications.
Medication continuation rates fall short perioperatively; leaves open whether systematic protocols reduce cardiovascular events.
In a retrospective study of 57,176 patients and a prospective study of 216 patients undergoing surgery, 24-32% of patients were receiving some concurrent medication. Between 10 and 16% were taking drugs for cardiovascular disease. Of these, only 71% had their normal medication prescribed before surgery and only 41% received their drugs on the day of surgery.
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Duthie et al. (1987) studied this question.
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