Perioperative Management of Beta Blockers and Other Antiarrhythmic Medications.
BACKGROUND
Antiarrhythmic medications are an important tool in preventing recurrence of intraoperative and postoperative arrhythmias.


OBJECTIVE
To review current literature and recommendations for perioperative management of antiarrhythmic medications.


METHODS
Literature review is presented along with the pharmacology of antiarrhythmics.


RESULTS
Antiarrhythmic medications should be continued perioperatively for the prevention of arrhythmias intra- and postoperatively. However, beta blockers have had controversies regarding their perioperative safety profile.


CONCLUSION
Continuation of antiarrhythmic medications is safe perioperatively. However, initiation of beta blockers should be patient-tailored and titrated to a target heart rate in advance surgery.
['Irizarry-Alvarado|Joan M|JM|']
D000319:Adrenergic beta-Antagonists D000889:Anti-Arrhythmia Agents D001145:Arrhythmias, Cardiac D004334:Drug Administration Schedule D006339:Heart Rate D006801:Humans D019990:Perioperative Care
beta blockers Antiarrhythmics surgery calcium channel blockers medication management perioperative care potassium
channel blockers sodium channel blockers