[HSF] AF prophylaxis -valve patients

[murtaza chishti]

i find it  very very hard to justify prophylactic use of a drug like 
amiodarone, particularly for possible  prevention of a non-life threatening 
arrythmia. just treat it when it comes.

murtaza



>From: Tea Acuff <tacuff at swbell.net>
>Reply-To: OpenHeart-L at lists.hsforum.com
>To: OpenHeart-L at lists.hsforum.com
>Subject: Re: [HSF] AF prophylaxis -valve patients
>Date: Wed, 18 Jul 2007 10:39:00 -0700 (PDT)
>
>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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