Joan M Irizarry-Alvarado1.
Abstract
BACKGROUND: Antiarrhythmic medications are an important tool in preventing recurrence of intraoperative and postoperative arrhythmias.
OBJECTIVE: To review current literature and recommendations for perioperative management of antiarrhythmic medications.
METHODS: Literature review is presented along with the pharmacology of antiarrhythmics.
RESULTS: Antiarrhythmic medications should be continued perioperatively for the prevention of arrhythmias intra- and postoperatively. However, beta blockers have had controversies regarding their perioperative safety profile.
CONCLUSION: Continuation of antiarrhythmic medications is safe perioperatively. However, initiation of beta blockers should be patient-tailored and titrated to a target heart rate in advance surgery. Copyright© Bentham Science Publishers; For any queries, please email at epub@benthamscience.org.
BACKGROUND: Antiarrhythmic medications are an important tool in preventing recurrence of intraoperative and postoperative arrhythmias.
OBJECTIVE: To review current literature and recommendations for perioperative management of antiarrhythmic medications.
METHODS: Literature review is presented along with the pharmacology of antiarrhythmics.
RESULTS: Antiarrhythmic medications should be continued perioperatively for the prevention of arrhythmias intra- and postoperatively. However, beta blockers have had controversies regarding their perioperative safety profile.
CONCLUSION: Continuation of antiarrhythmic medications is safe perioperatively. However, initiation of beta blockers should be patient-tailored and titrated to a target heart rate in advance surgery. Copyright© Bentham Science Publishers; For any queries, please email at epub@benthamscience.org.
Entities:
Keywords:
Antiarrhythmics; beta blockers; calcium channel blockers; medication management; perioperative care; potassiumzzm321990channel blockers; sodium channel blockers; surgery
Mesh:
Substances:
Year: 2017
PMID: 28847276 DOI: 10.2174/1574884712666170829114820
Source DB: PubMed Journal: Curr Clin Pharmacol ISSN: 1574-8847