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REDUCING GLOBAL PERIOPERATIVE RISK


This resource center is jointly hosted by The American Journal of Medicine,
The American Journal of Cardiology, and the Canadian Journal of Cardiology.

KEY FINDINGS

  • Clonidine had no effect on death or myocardial infarction. Clonidine was associated with an increased risk of non-fatal cardiac arrest and hypotension.
  • ASA had no effect on death or myocardial infarction, but increased the risk of major and life-threatening bleeding.
  • POISE 2 demonstrated that clinicians can improve outcomes by holding ASA during the perioperative period.
  • Perioperative hypotension and major/life threatening bleeding were independent predictors of perioperative myocardial infarction.

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