Perioperative Management of Beta Blockers and Other Antiarrhythmic Medications

Author(s): Joan M. Irizarry-Alvarado* .

Journal Name: Current Clinical Pharmacology

Volume 12 , Issue 3 , 2017

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Graphical 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.

Keywords: Antiarrhythmics, beta blockers, calcium channel blockers, medication management, perioperative care, potassium channel blockers, sodium channel blockers, surgery.

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Article Details

Year: 2017
Page: [141 - 144]
Pages: 4
DOI: 10.2174/1574884712666170829114820
Price: $58

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PDF: 30