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Circulation
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Table 11. Recommendations for Perioperative Beta-Blocker Therapy Based on Published Randomized Clinical Trials
Surgery
No Clinical Risk Factors
1 or More Clinical Risk Factors
CHD or High Cardiac Risk
Patients Currently Taking Beta Blockers
Vascular Class IIb, Level of Evidence: B Class IIa, Level of Evidence: B Patients found to have myocardial ischemia on preoperative testing: Class I, Level of Evidence: B* Class I, Level of Evidence: B
Patients without ischemia or no previous test: Class IIa, Level of Evidence: B
Intermediate risk ... Class IIb, Level of Evidence: C Class IIa, Level of Evidence: B Class I, Level of Evidence: C
Low risk ... ... ... Class I, Level of Evidence: C

See Table 4 for definition of procedures. Ellipses (...) indicate that data were insufficient to determine a class of recommendation or level of evidence. See text for further discussion. CHD indicates coronary heart disease.
*Applies to patients found to have coronary ischemia on preoperative testing.
{dagger}Applies to patients found to have coronary heart disease.





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