Grand Rounds >

4/17/12

by Steven Cohn, MD, FACP
Director of the Medical Consultation Service, Kings County Hospital Center, Clinical Professor of Medicine, State University of New York Downstate Medical Center, Brooklyn, NY

About this lecture:

This lecture discusses perioperative management and risk reduction strategies—coronary revascularization (CABG/PCI) and medical therapy (beta-blockers/statins)—to prevent postoperative cardiac complications after noncardiac surgery.

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This lecture is related to: Harrison's Online Chapter 8: Medical Evaluation of the Surgical Patient



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Accreditation Information:
Estimated time to complete this activity: 1 hour

Release Date: 4/17/12
Expiration Date: 4/17/13

Intended Audience:
Internal medicine physicians

Learning Objectives:

1. To understand the risks, benefits, and limited role of prophylactic preoperative revascularization.
2. To understand the controversies surrounding the use of perioperative beta-blockers and statins.
3. To determine which patients may benefit from these risk reduction strategies.

Faculty:
Steven Cohn, MD, FACP
Director of the Medical Consultation Service, Kings County Hospital Center, Clinical Professor of Medicine, State University of New York Downstate Medical Center, Brooklyn, NY

Faculty Planning Committee:
Anthony S. Fauci, MD
Chief
Laboratory of Immunoregulation
Director, National Institute of Allergy and Infectious Diseases
National Institutes of Health
Bethesda

Dennis L. Kasper, MD
William Ellery Channing Professor of Medicine
Professor of Microbiology and Molecular Genetics
Harvard Medical School
Director
Channing Laboratory
Department of Medicine
Brigham and Women's Hospital
Boston

Dan L. Longo, MD
Scientific Director
National Institute on Aging
National Institutes of Health
Bethesda and Baltimore

Eugene Braunwald, MD
Distinguished Hersey Professor of Medicine
Harvard Medical School
Chairman
TIMI Study Group
Brigham and Women's Hospital
Boston

Stephen L. Hauser, MD
Robert A. Fishman Distinguished Professor and Chairman
Department of Neurology
University of California, San Francisco
San Francisco

J. Larry Jameson, MD, PhD
Professor of Medicine
Vice-President for Medical Affairs and Lewis Landsberg Dean
Northwestern University Feinberg School of Medicine
Chicago

Joseph Loscalzo, MD, PhD
Hersey Professor of the Theory and Practice of Medicine
Harvard Medical School
Chairman
Department of Medicine
Physician-in-Chief
Brigham and Women's Hospital
Boston

Accreditation Statement:
This activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education (ACCME). Interstate Postgraduate Medical Association is accredited by the ACCME to provide continuing medical education for Physicians.

Credit Designation:
Physicians
The Interstate Postgraduate Medical Association designates this enduring material for a maximum of 1 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Method of Participation:
Learners will participate in this educational activity by watching the lecture and answering learning assessment questions. There is no additional fee to participate in this CME activity. This activity should take 1 hour(s) to complete.

Please use the links below to access the activity.

IPMA Faculty & Program Planning:
As a provider dedicated to independent education and accredited by the ACCME, Interstate Postgraduate Medical Association (IPMA) must ensure balance, independence, objectivity, and scientific rigor in all of its educational activities. It is the policy of IPMA to require disclosure of the existence of any significant financial interest or other relationship a faculty member, planner, or a sponsor has with either the commercial supporter of this activity or the manufacturer(s) of any commercial product(s) discussed in an educational presentation.

Faculty Disclosure:
Steven L. Cohn, MD: Speakers Bureau: Sanofi-Aventis, Pfizer, Daiichi-Sankyo, Lilly; Advisory Board: BMS & Sanofi-Aventis; Investment: Pfizer, GlaxoSmithKline, Merck, AstraZeneca.

Reviewer Disclosure:
No reviewers who could influence the content of this activity have any relations with relevant commercial interests to disclose.

Planner Disclosure:
J. Larry Jameson, MD, PhD: Advisory Board: Quest Diagnostics

Disclosure of Off-Label Use:
Some of the information contained herein may cite the off-label use of drugs. Consult the approved package insert(s) for complete prescribing information.

Disclaimer:
The views expressed in this activity are those of the faculty. It should not be inferred or assumed that the faculty is expressing the views of Interstate Postgraduate Medical Association.

Peer Review:
This activity has been reviewed by a physician of the target audience.

Software Requirements:
Windows 7, XP, or Vista; or Mac OS X
Flash Player 8 or higher
Chrome 4 or higher, Firefox 2 or higher, Internet Explorer 7 or higher, Safari 3 or higher


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Contact Information:
IPMA
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