Final answer:
ACE inhibitors (ACE-i) and Angiotensin Receptor Blockers (ARBs) are commonly used medications in the treatment of hypertension and heart failure. However, their use perioperatively, as per 2014 ACC/AHA guidelines, has been a topic of debate.
Step-by-step explanation:
ACE inhibitors (ACE-i) and Angiotensin Receptor Blockers (ARBs) are commonly used medications in the treatment of hypertension and heart failure. However, their use perioperatively, as per 2014 ACC/AHA guidelines, has been a topic of debate.
The ACC/AHA guidelines recommend continuing ACE-i/ARB therapy in patients who are already taking these medications prior to surgery. This is because abruptly stopping these medications can cause rebound hypertension. However, it is important to note that individual patient factors and the specific surgical procedure should also be taken into consideration when deciding on perioperative management of ACE-i/ARB therapy.
Discuss your concerns with your healthcare provider, who can provide you with personalized advice based on your unique medical situation.