Abstract
Antiarrhythmic medications are an important tool in preventing recurrence of intraoperative and postoperative arrhythmias. To review current literature and recommendations for perioperative management of antiarrhythmic medications. Literature review is presented along with the pharmacology of antiarrhythmics. 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. 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.
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