AICD: preventing intraoperative firing

A. recommended for patients at risk for recurrent VF

because they effectively provide early defibrillation.

B.  Patients with VF arrest who receive AICDs have

improved survival compared with those receiving only

medications.

C..Patients with AICDs may also require oral

antidysrhythmic therapy to minimize recurrent device

activation.

D.  In the setting of acute myocardial infarction,

beta-adrenergic blocking therapy with agents such as

metoprolol decrease the likelihood of ventricular

dysrhythmias including ventricular fibrillation, and

they lower overall mortality.

E. Administer a beta-adrenergic blocking agent during

acute myocardial infarction unless contraindicated by

bradycardia, heart block, congestive heart failure, or

reactive airway disease.

•    Most patients with ICD have poor LVEF withcoexisting

systemic disease. Primary managementof the patient

includes evaluation and optimizationof coexisting

disease.

•    In patients, undergoing vascular

surgery,heparinisation also poses a risk of an