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June 19, 2002

When Should Perioperative β-Blockers Be Discontinued?

Author Affiliations

Copyright 2002 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.2002

JAMA. 2002;287(23):3079-3080. doi:10.1001/jama.287.23.3077

To the Editor: In their review of perioperative β-blockade for noncardiac surgery, Drs Auerbach and Goldman1 may have created some confusion about the potential for complications of withdrawal of β-blockade. They summarize an article by Shammash et al2 as follows: "A recent prospective observational study noted that patients who were not receiving β-blockers long-term but who discontinued perioperative use immediately after surgery had an increased risk for postoperative myocardial infarction."

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