[HSF] Post-op arrest

[A]

Hal:
>From the history that Don gave us there was no preop VT. I do not know why
the patient should need EPS at this stage. It is clearly ischemic in nature
and one need to address that. This is in my humble opinion

Ahmed

-----Original Message-----
From: openheart-l-bounces at lists.hsforum.com
[mailto:openheart-l-bounces at lists.hsforum.com] On Behalf Of Hgrmd at aol.com
Sent: Tuesday, July 17, 2007 4:19 AM
To: OpenHeart-L at lists.hsforum.com
Subject: Re: [HSF] Post-op arrest

Don,
  At the very least, the man needs an EPS or, better yet, go straight  to 
implantation of ICD.  I can understand the reluctance of the  cardiologist
to 
intervene after a fresh CABG, but he certainly should if there  are ongoing
signs 
of ischemia.  I would compromise and recommend a nuclear  stress.  If 
positive, then intervention.  It might be safer if you can  wait about 6
weeks before 
doing a PCI.  I remember seeing a cardiologist  produce tamponade after 
rupturing a distal with a balloon a couple of days  post-CABG.  Waiting a
few weeks 
would allow scar to grow around the heart,  and perhaps minimize the 
likelihood of tamponade.
 
Hal



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