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Doctor insights on: Advance Elective Cardioversion

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Anesthesiology consultation required before C-section if heart disease?

Anesthesiology consultation required before C-section if heart disease?

Absolutely: If you have heart disease, it is essential that your anesthesiologist knows the details. Consultation allows us to get records and create a plan in advance. This could be difference between life and death, depending on nature of disease. Also may be necessary to go to another hospital with specialists if your disease is severe and the necessary resources are not available. ...Read more

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Dr. Samuel Hahn
119 doctors shared insights

Cardioversion (Definition)

Electrical conversion ...Read more


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Pre CABG ef 55% is it risky undergoing for surgery....What r the complications....?

Pre CABG ef 55% is it risky undergoing for surgery....What r the complications....?

EF: Ef or ejection fraction is the amount of blood ejected with each beat of the heart. An ejection fraction of 55 - 60 per cent is normal. A low ef, below 30 or 35 per cent has a higher risk for any surgery including cardiac surgery. The risks are of more complications with surgery such as heart failure, forming of a blood clot, or a stroke. ...Read more

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After cardiac resuscitation during surgery, is it viable/possible to resume anesthetics? (Propofol/Remifentanil)

After cardiac resuscitation during surgery, is it viable/possible to resume anesthetics? (Propofol/Remifentanil)

Yes: It is conceivable , in order to terminate the surgery , not necessarily to complete it, and to take control of certain functions of the body, like the respiratory system and the oxygenation of the brain and other vital organs. ...Read more

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Obgyn transcription: "elective appendectomy was performed. patient given preop intravenous ____ (monasid)?" What does this mean?

Obgyn transcription: "elective appendectomy was performed. patient given preop intravenous ____ (monasid)?" What does this mean?

Maybe antibiotic: We frequently give antibiotics prior to certain procedures. That is probably what the surgeon was describing. ...Read more

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Would propofol given during surgery induce VT in BRUGADA syndrome patient ?

Would propofol given during surgery induce VT in BRUGADA syndrome patient ?

Brugada & anesthesia: The risk of a drug causing or worsening a cardiac rhythm disturbance is a concern with some anesthetic drugs. For patients w/ Brugada syndrome, this is a much more significant issue. In a study of 57 patients w Brugada, a single dose of propafol did not cause problems, but extreme caution is advised for general anesthesia of Brugada patients especially w prolonged propafol infusion. ...Read more

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Is it common to remove an implantable cardioverter defibrillator during heart bypass surgery?

Is it common to remove an implantable cardioverter defibrillator during heart bypass surgery?

No: It was put in for a reason so unless something has changed, it will ordinarily be left in place unless the battery is failing, in which case it would be replaced. ...Read more

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What is an elective surgical procedure?

What is an elective surgical procedure?

Elective: Elective surgery is any operation that is not considered an emergency and thus can be done at the convenience of the patient, surgeon or hospital operating room availability. ...Read more

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Is blood transfusion required during bariatric surgery?

Is blood transfusion required during bariatric surgery?

Rarely: Though there may be circumstances where transfusion is indicated, the vast majority of patients who undergo laparoscopic bariatric surgery have very little blood loss and therefore do not need blood transfusion. ...Read more

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How safe/ successful is robotic assisted bypass for the heart vs regular cabg. ?

How safe/ successful  is robotic assisted bypass for the heart vs regular cabg. ?

Big Maybe: In general, the gold standard for CABG is full sternotomy. In experienced hands, the robot can be used to take down the lima, and a small incision to do an off pump cabg> ask your surgeon how many he has done in the past year. ...Read more

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Is general anesthesia during gallbladder surgery safe for copd patients?

Is general anesthesia during gallbladder surgery safe for copd patients?

Well : Depends on how severe the COPD if you can be safe you need to be evaluated pre op by anesthesia doctor ...Read more

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Critical aortic stenosis, TAVR denied by ins. Open heart not an option due to radiation damage, 3b nsclc. Tentative prognosis?

Critical aortic stenosis, TAVR denied by ins. Open heart not an option due to radiation damage, 3b nsclc. Tentative prognosis?

Sounds very serious.: Your cardiologist should appeal to your insurance company. Your case is very unusual because of previous chest wall radiation. Prognosis without procedure depends on aortic valve area, pressure gradient, native myocardium, and a lot of other factors. You need to ask your cardiologist. ...Read more

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Who is minimally invasive heart surgery performed on?

Who is minimally invasive heart surgery performed on?

Depends : Test would be done to determine if you’re a candidate for minimally invasive heart surgery. Some deciding factors may include medical history, age, type of heart disease and lifestyle. Generally, someone who has had heart surgery prior would not be a candidate. Some surgeries include ASD and PFO repairs, removal of tumors, valve, bypass and a-fib surgeries. ...Read more

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Will clopidogrel (7mg/day) compliment warfarin therapy for patients with CHF with a-fib? Is it really required? +dabigatran?

Will clopidogrel (7mg/day) compliment warfarin therapy for patients with CHF with a-fib? Is it really required? +dabigatran?

Coumadin/dabigatran: Coumadin (warfarin) or dabigatran. You can not be on both because of increased risk of bleeding. With either Coumadin (warfarin) and dabigatran you do not need to be on plavix. ...Read more

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Should transesophageal echocardiography be performed in all patients before cardioversion?

Should transesophageal echocardiography be performed in all patients before cardioversion?

It depends.: If the patient has been on a blood thinner for at least 4 weeks then most of the time, it is not necessary. However if the patient is not on a blood thinner, then tee is recommended to detect clot(s) in the heart. ...Read more

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I can't decide: implantable cardioverter defibrillator or heart bypass surgery?

Different things: Bypass surgery (CABG) treats the blockages in the heart vessels, while the defibrillator (icd) treats dangerous heart beats such as ventricular tachycardia or fibrillation. A person may need both, depending on their medical condition. ...Read more

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Is lasik surgery safe?

Is lasik surgery safe?

Yes: Lasik is one of the safest elective procedures performed in the U.S. Any procedure has some risk though. Discuss this with a lasik surgeon. ...Read more

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Is catheter angiography necessary before bypass surgery for someone with CAD ?

Yes: Is not possible to have bypass surgery without first having cardiac catheterization. The surgeon requires a detailed picture of the coronary anatomy to know if the patient is suitable for bypass surgery and to know where to put the bypass grafts during the operation. ...Read more

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