[HSF] v-feb after AVR+mitral repair+ACB to RCA.

陈鑫 stevecx at jlonline.com
Tue Jan 8 23:18:21 EST 2008


Yes, AICD is very expesive here.  But we will get EP guy to consult before we send him home. 

Many thanks

Steve

----- Original Message ----- 
From: <zzhoumd at pol.net>
To: <OpenHeart-L at lists.hsforum.com>
Sent: Tuesday, January 08, 2008 10:44 PM
Subject: Re: [HSF] v-feb after AVR+mitral repair+ACB to RCA.


> 
> Hal, 
> 
> I think this patient is in China. The cost of a implantable defibrillator may be prohibitive for many people if they can not afford it but with inducible V fib. So the standard of care may be different. 
> 
> Z 
> 
> 
> Sent via BlackBerry by AT&T
> 
> -----Original Message-----
> From: Hgrmd at aol.com
> 
> Date: Mon, 7 Jan 2008 19:24:04 
> To:OpenHeart-L at lists.hsforum.com
> Subject: Re: [HSF] v-feb after AVR+mitral repair+ACB to RCA.
> 
> 
> Steve,
>  I recommend an EPS prior to D/C for this patient.  If he's  still 
> inducible, then an ICD would be indicated.  With a history like that,  I think you 
> would be subject to criticism if the patient has sudden death  outside the 
> hospital.
> 
> Hal
> 
> 
> 
> **************Start the year off right.  Easy ways to stay in shape.     
> http://body.aol.com/fitness/winter-exercise?NCID=aolcmp00300000002489
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