[HSF] AF prophylaxis -valve patients

[Tea Acuff]

You can use both, but only amiodarone has any (small) effect for prevention. Long ago we used to use dig for preop lungs (in a VA population). It did not stop afib, but did slow the initial rate (but they called us anyway, re sleep deprivation). I think rountine magnesium (unless you have plenty in your cardioplegia) in a population likely to be low preop and beta blockers is your best bet, however.
tea


----- Original Message ----
From: sekhar le <sekharle2006 at hotmail.com>
To: posting hsf <openheart-l at lists.hsforum.com>
Sent: Wednesday, July 18, 2007 4:28:48 AM
Subject: [HSF] AF prophylaxis -valve patients


can we use digoxin or amiodarone  pre operatively  in valve patients with sinus rhythm  for prophylaxis against  post op AF? 
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