Two recently published papers describing assessment and magement of perioperative risk from coronary artery disease in patients undergoing noncardiac surgery were published by Paida and Detsky of the American College of Physicians.14,15 These are important “position papers” describing clinical guidelines for this patient population. Based on the findings of Mangano et al.,16the American College of Physicians recommends the perioperative use of atenolin patients with coronary artery disease as originally defined by Mangano et al.,16unless significant contraindications to the use of beta blockers are present. -DCW