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This review recommends that: a) ASA may be safely discontinued perioperatively when it is being given for the primary prevention of cardiovascular disease; b) patients with coronary or carotid artery stents should continue to receive ASA perioperatively; c) there is no indication to initiate ASA in patients with stable ischemic heart disease perioperatively as risks outweigh the benefits; d) patients with a previous myocardial infarction or ischemic stroke on ASA for secondary prevention, ASA in most surgeries is well tolerated, but further study is required.

Comment: This review suggests that ASA be continued perioperatively in people with stents (coronary or carotid), but its use be individualized in all other patients.



Curr Opin Anaesthesiol. 2015 Apr 16.    (retrieved Apr, 2015). There are currently 917 pearls in the database. While every attempt has been made to ensure accuracy, mistakes can and do occur. Use databank at your own risk. All pearls © 2020 by the Internet Medical Association. Click Here to view more medical pearls.