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[Perioperative antiarrhythmic drug management]
1Klinik für Anästhesiologie, Klinikum Innenstadt der LMU München, Germany. c-k-strom@t-online.de
Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS
|September 27, 2001
Summary
Perioperative arrhythmias are common and can lead to severe adverse outcomes. This review covers their causes, treatments, and the normal function of the heart’s electrical system.
Area of Science:
- Cardiology
- Anesthesiology
- Electrophysiology
Context:
- Perioperative arrhythmias are a frequent complication during and after surgery.
- Approximately 2.5% of these arrhythmias result in severe adverse outcomes for patients.
Purpose:
- To review the normal physiology of the myocardial conduction system.
- To discuss the etiology and pathophysiology of common perioperative dysrhythmias.
- To present important antiarrhythmic drugs and treatment strategies for frequent arrhythmias.
Summary:
- This review details the normal cardiac electrophysiology and explores the underlying causes and mechanisms of perioperative arrhythmias.
- It also describes key antiarrhythmic medications and outlines evidence-based treatment plans for prevalent dysrhythmias encountered in the perioperative setting.
Impact:
- Provides a comprehensive overview for clinicians managing perioperative arrhythmias.
- Aims to improve patient outcomes by detailing effective diagnostic and therapeutic approaches.
- Serves as a reference for understanding cardiac conduction and managing cardiac rhythm disturbances during surgery.