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Should High-Risk Cardiac Patients Receive Perioperative Statins?

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You’re Wrong, I’m Right

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Abstract

An 86-year-old woman with an abdominal aortic aneurysm presents for endovascular repair. She has no history of myocardial infarction (MI) or angina symptoms. Her electrocardiogram (ECG) shows no ST changes, q-waves, or T-wave abnormalities, and her echocardiogram is unremarkable. She takes no medications. You decide to administer 20 mg of rosuvastatin to the patient in the holding area since vascular surgery patients are at a high risk of perioperative MI. Shortly, thereafter you proceed to the operating room where a spinal anesthetic is placed and the vascular surgeon begins the procedure.

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Author information

Authors and Affiliations

  1. Cardiothoracic Division, Department of Anesthesiology, Mount Sinai Medical Center, One Gustave L. Levy Pl, Box 1010, New York, New York, 07093, USA

    Himani V. Bhatt

Authors
  1. Himani V. Bhatt
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Correspondence to Himani V. Bhatt .

Editor information

Editors and Affiliations

  1. Clinical Professor of Anesthesiology, Department of Anesthesiology, Perioperative Care and Pain Medicine, New York University School of Medicine, New York, New York, USA

    Corey S. Scher

  2. Assistant Professor, Department of Anesthesia and Critical Care, The University of Chicago, Chicago, Illinois, USA

    Anna Clebone

  3. Clinical Professor of Anesthesiology (Emeritus), Former Assistant Director of Anesthesiology, Bellevue Hospital Center Retired from Department of Anesthesiology, Bellevue Hospital Center, New York University School of Medicine, New York, New York, USA

    Sanford M. Miller

  4. Clinical Associate Professor of Anesthesiology and Surgery, Bellevue Hospital Center, Department of Anesthesiology, Perioperative Care and Pain Medicine, New York University School of Medicine, Surgical Intensive Care Unit, New York, New York, USA

    J. David Roccaforte

  5. Department of Anesthesiology, Perioperative Care and Pain Medicine, Vice Chair Faculty Promotion Associate Director Anesthesia Service Bellevue Hospital Center, New York, New York, USA

    Levon M. Capan

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Bhatt, H.V. (2017). Should High-Risk Cardiac Patients Receive Perioperative Statins?. In: Scher, C., Clebone, A., Miller, S., Roccaforte, J., Capan, L. (eds) You’re Wrong, I’m Right. Springer, Cham. https://doi.org/10.1007/978-3-319-43169-7_23

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  • DOI: https://doi.org/10.1007/978-3-319-43169-7_23

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-43167-3

  • Online ISBN: 978-3-319-43169-7

  • eBook Packages: MedicineMedicine (R0)

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