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RAS Inhibitors Before Major Non-Cardiac Surgery: Continue or Cut Off?

2 Sept 2024 • New research examined whether continuing or discontinuing renin-angiotensin system inhibitors (RASIs) before major noncardiac surgery impacts postoperative outcomes.

Involving 2,222 patients, the study found no significant difference in all-cause mortality and major postoperative complications between those who continued RASI use (22%) and those who discontinued it (22%).

While continuation was linked to a higher rate of intraoperative hypotension (54% vs. 41%), it didn’t increase the overall risk of postoperative complications.

These findings suggest that continuing RASIs before surgery may be a safe option, with no added risk of major complications.

Source: JAMA | Read full story

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