Table 3.
Antiarrhythmic and anesthesia characteristics
| Pre-CSD RFA | Post-CSD RFA | |||||||
|---|---|---|---|---|---|---|---|---|
| Patient | Antiarrhythmic regimen at at pre-CSD RFA | Anesthesia | Vasopressors | Antiarrhythmics at post-CSD RFA | Anesthesia | Vasopressors | Antiarrhythmic Pre- v. Post-CSD comparison | Discharge med regimen |
| 1 | Lidocaine IV Amiodarone 200 bid Mexiletene 400 tid |
General | Not available | Amiodarone 200 daily Mexiletine 200 bid Esmolol IV |
General | Phenylephrine | No increase | Amiodarone 200 daily Metoprolol 25 daily |
| 2 | Amiodarone 200 bid Mexiletine 150 tid Metoprolol 50 bid |
General | Phenylephrine | Amiodarone IV | General | None | No increase | Amiodarone 200 daily Metoprolol 25 bid |
| 3 | Sotalol 160 bid Fleciainide 100 bid Carvedilol 12.5 bid |
MAC | Dopamine Epinephrine |
Amiodarone 200 bid Ranolazine 500 bid |
General | Dopamine | No increase | Metoprolol 25 bid Ranolazine 500 bid |
| 4 | Amiodarone 400 daily Carvedilol 6.25 bid |
MAC | None | Carvedilol 25 bid | General | None | Decrease | Carvedilol 25 bid |
| 5 | Mexiletine 200 tid Carvedilol 25 bid |
General | None | Lidocaine IV Amiodarone 200 daily Mexiletine 200 tid Carvedilol 12.5 bid |
General | None | Increase | Amiodarone 400 bid Mexiletine 400 tid Metoprolol 25 bid |
| 6 | Mexiletine 150 tid Metoprolol 50 bid |
General | Dopamine | Mexiletine 150 tid Metoprolol 50 bid |
MAC | Dopamine | No increase | Metoprolol 50 bid |
| 7 | Amiodarone IV Lidocaine IV Mexiletine 200 tid Metoprolol 25 bid |
General | Epinephrine | Amiodarone IV Lidocaine IV Metoprolol 50 bid |
General | Vasopressin | Decrease | Amiodarone 400 bid Mexiletine 150 tid Metoprolol 25 bid |
| 8 | Lidocaine IV Carvedilol 50 bid |
MAC | Dopamine | Carvedilol 25 bid | MAC | Phenylephrine | Decrease | Carvedilol 25 bid |
| 9 | Amiodarone 200 daily Mexiletine 150 tid Carvedilol 3.125 bid |
General | Phenylephrine | Amiodarone 200 daily Mexiletine 200 bid Carvedilol 3.125 bid |
General | Phenylephrine | No increase | Amiodarone 200 daily Mexiletine 200 bid Carvedilol 3.125 bid |
| 10 | Sotalol 80 bid Carvedilol 50 bid |
MAC | Phenylephrine Dopamine |
Lidocaine IV Sotalol 160 bid Carvedilol 50 bid |
MAC | Epinephrine | Increase | Mexiletine 150 tid Carvedilol 50 bid |
| 11 | Procainamide IV Metoprolol 25 bid |
General | Phenylephrine | Procainamide IV Metoprolol 25 bid |
General | Phenylephrine | No increase | N/A |
| 12 | Amiodarone 400 daily Mexiletine 150 bid Metoprolol 150 bid |
MAC | Phenylephrine | Verapamil 100 daily Metoprolol 50 bid |
MAC | None | Decrease | Verapamil 100 daily Metoprolol 50 bid |
| 13 | Procainamide IV Lidocaine IV Esmolol IV Mexiletine 150 tid |
General | Phenylephrine | Amiodarone IV Esmolol IV Mexiletine 150 tid |
MAC | None | No increase | Amiodarone 200 bid Metoprolol 200 bid |
| 14 | Dofetilide 500 bid Metoprolol 50 bid |
General | None | Dofetilide 500mcg bid Mexiletine 150 bid Metoprolol 50 daily |
General | Phenylephrine | Increase | Dofetilide 500mcg bid Mexiletine 150 bid Metoprolol 50 daily |
| 15 | Amiodarone 200 daily Metoprolol 25 bid |
MAC | Epinephrine | Amiodarone IV Procainamide IV Esmolol IV |
General | Vasopressin | Increase | N/A |
| 16 | Amiodarone IV Sotalol 80 bid Mexiletine 200 bid |
MAC | Epinephrine | Sotalol 80 tid Mexiletine 300 tid |
MAC | Phenylephrine | Decrease | Amiodarone 200 tid Mexlietine 200 tid Ranolazine 500 bid Metoprolol 50 bid |
Abbreviations: CSD = cardiac sympathetic denervation, MAC = monitored anesthesia care, RFA = radiofrequency ablation