start beta-blockers EARLIER before surgery

New guidelines say to start beta-blockers EARLIER before surgery.

This applies to noncardiac surgeries in high-risk patients such as those with ischemia on pre-op tests...cardiovascular disease...or multiple risk factors.

It can be harmful to start a HIGH-dose beta-blocker on the day of surgery. Blood pressure and heart rate can fall too much...and lead to more strokes and death.

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