[Preoperative evaluation and management of arrhythmia].
Cardiac arrhythmias are often observed in patients during perioperative period. There are many types of arrhythmias, and some of these can be independent predictors of morbidity and mortality in patients undergoing both cardiac and non-cardiac surgery. In accordance with patients' condition, advanced cardiac testing may be needed for predicting and reducing the perioperative risk. The preoperative management is also an important component of the preparation of the surgical patients with arrhythmias. Most arrhythmias may be associated with cardiac or non-cardiac problems, such as cardiopulmonary disease, myocardial ischemia, drug toxicity, endocrine disease, or metabolic derangements. Since perioperative arrhythmias may increase their risk dependent on the underlying cause, these abnormalities should be corrected if possible before surgery.
Kawano
Takashi
T
Department of Anesthesiology, Tokushima University School of Medicine, Tokushima 770-8503.
Oshita
Shuzo
S
D001145:Arrhythmias, Cardiac / Q000175:diagnosis* / Q000209:etiology; D006801:Humans; D011300:Preoperative Care