November 2004, Volume 34 Number 11 , p 32cc4 - 32cc4
© 2004 Lippincott Williams & Wilkins, Inc. Volume 34(11) November 2004 p 32cc4 New guidelines OK aspirin before CABG surgery [CRITICAL Care: CURRENTS]
Revised guidelines from the American College of Cardiology and American Heart Association give the thumbs-up to aspirin for patients undergoing coronary artery bypass graft (CABG) surgery, but thumbs-down to hormone replacement therapy in women.
The guidelines also recommend that patients receive beta-blockers and lipid-lowering statins. Patients who develop arrhythmias after CABG surgery should receive warfarin to reduce the risk of thrombosis. Aspirin use before CABG, which was thought to increase a patient's bleeding risk, is now considered beneficial because it lowers the risk of thrombosis in grafted vessels.
On the issue of whether patients are better off without coronary bypass during CABG, the ...