Continuing versus Withholding Renin–Angiotensin–Aldosterone System Antagonists Before Noncardiac Surgery: A Systematic Review and Meta-Analysis

Continued ACEI or ARBs before non-cardiac surgery increases the incidence of intraoperative hypotension, without reducing the incidence of both AKI and MACCE postoperatively. More research is necessary to explore the appropriate perioperative management of ACE-I and ARB.

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Publication Details

Journal
La Tunisie Médicale
Published
2025-11-09
DOI
https://doi.org/10.62438/tunismed.v103i9.6236
Primary Topic
Cardiac, Anesthesia and Surgical Outcomes
Type
article
Field-Weighted Citation Impact
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article

Continuing versus Withholding Renin–Angiotensin–Aldosterone System Antagonists Before Noncardiac Surgery: A Systematic Review and Meta-Analysis

La Tunisie Médicale
Cardiac, Anesthesia and Surgical Outcomes
article

Continuing versus Withholding Renin–Angiotensin–Aldosterone System Antagonists Before Noncardiac Surgery: A Systematic Review and Meta-Analysis

article en

Abstract

Continued ACEI or ARBs before non-cardiac surgery increases the incidence of intraoperative hypotension, without reducing the incidence of both AKI and MACCE postoperatively. More research is necessary to explore the appropriate perioperative management of ACE-I and ARB.

La Tunisie MédicaleVol. 103(9)
Inserm (FR), École des Hautes Études en Santé Publique (FR), University of Monastir (TN), Hôpital Mongi Slim (TN), Institut de Recherche en Santé, Environnement et Travail (FR), Centre Hospitalier Intercommunal André Grégoire Montreuil (FR), Tunis El Manar University (TN)
Good health and well-being
Openalex Percentile: Top 32%
Cardiac, Anesthesia and Surgical Outcomes
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