Question

A 61-year-old with chest pain undergoes noncardiac low-risk dermatologic surgery. He is on metoprolol for CAD. What is the best perioperative beta-blocker management?

Accepted Answer

Continue metoprolol without dose escalation

Answer

Stop metoprolol 24 h before surgery

Answer

Start new high-dose metoprolol morning of surgery

Answer

Switch to short-acting beta-blocker IV

Answer

Hold beta-blocker and restart 1 week later

Practice question

A 61-year-old with chest pain undergoes noncardiac low-risk dermatologic surgery. He is on metoprolol for CAD. What is the best perioperative beta-blocker management?