Home

In recent years, management strategies for atrial fibrillation (AF) have expanded significantly, and new drugs for ventricular rate control and rhythm conversion have been introduced1. The atrial fibrillation (AF) surgery in India provides you the world class facilities at a very affordable price. Family physicians, handling such cases whether in office practice or in emergencies have the challenge of keeping current with recommendations on heart rate control, anti-arrhythmic drug therapy, cardio version, and antithrombotic therapy. AF is the most common sustained arrhythmia encountered in the primary care setting. Many people in the general population have permanent or intermittent AF and the prevalence of arrhythmia increases in persons older than 80 years. AF can result in serious complications, including congestive heart failure, myocardial infarction, and thrombo-embolism. It is important to note that AF occurring in a background of rheumatic heart disease as is rampant in India is decidedly associated with increased risk of stroke than that without. In the Framingham study2, patients with rheumatic heart disease and AF had a 17-fold increased risk of stroke compared with age matched controls, and the attributable risk was 5 times greater than in those with non-rheumatic AF2. No arrhythmia is unique to anesthesia practice. Anesthesia may per se potentate the risk of developing arrhythmia in an individual, but more particularly in those susceptible. Cardiac arrhythmias are a relatively frequent occurrence during anesthesia. The possible precipitating factors include: hypoxia, hypercapnia, myocardial infarction, catecholamine, electrolyte abnormalities, acid-base imbalance, drug toxicity and adverse drug reactions. The sudden appearance of any new arrhythmia, regardless of homodynamic consequences, should be of concern and warrants attention. Specific therapy in the form of drugs, cardio version, or pacing will have their efficacy greatly enhanced by prior...

Read more...