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Your patient is a 66-year-old with current atrial fibrillation who is going for knee surgery in...

Your patient is a 66-year-old with current atrial fibrillation who is going for knee surgery in one week. The patient is not currently on any medications for atrial fibrillation. Does this patient require pharmacologic intervention prior to surgery? If so, what would be the optimal medication regimen for the patient?

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Answer #1

Arterial fibrillation is a type of cardiac arrhythmia and if present during the time of perioperative phase then can lead to complications like hemodynamic impairment and thromboembolic events which may lead to morbidity or mortality to the patient.

It can be managed before the surgery with the treatment like use of medications such as digoxin, diltiazem, amioderon and oxygen supply using ventimask.

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