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Coronary artery bypass surgery hormonal manipulation

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

2011 ACCF/AHA Guideline for Coronary Artery Bypass Graft Surgery (DO NOT EDIT)[1]

2011 ACCF/AHA Guideline for Coronary Artery Bypass Graft Surgery (DO NOT EDIT)[1]

Coronary artery bypass surgery hormonal manipulation

Class I
1. Use of continuous intravenous insulin to achieve and maintain an early postoperative blood glucose concentration less than or equal to 180 mg/dL while avoiding hypoglycemia is indicated to reduce the incidence of adverse events, including deep sternal wound infection, after CABG (Level of Evidence: B)
Class III: HARM
1. Postmenopausalhormonaltherapy(estrogen/prosgesterone)shouldnot be administered to women undergoing CABG (Level of Evidence: B)
Class IIb
1. The use of continuous intravenous insulin designed to achieve a target intraoperative blood glucose concentration less than 140 mg/dL has uncertain effectiveness (Level of Evidence: B)
References

References

  1. Hillis LD, Smith PK, Anderson JL, Bittl JA, Bridges CR, Byrne JG; et al. (2011). “2011 ACCF/AHA Guideline for Coronary Artery Bypass Graft Surgery: A Report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines”. Circulation. doi:10.1161/CIR.0b013e31823c074e. PMID 22064599.

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