Perioperative Management of Patients with Tachyarrhythmias in Non-cardiac Surgery

V.V. Myasnikova1, 2, N.B. Karakhalis3, 2, T.S. Musaeva2, I.B. Zabolotskikh2

1 The Academician S.N. Fyodorov IRTC «Eye Microsurgery» of the Ministry of Public Health of the Russian Federation, Krasnodar

2 Kuban State Medical University of the Ministry of Public Health of the Russian Federation, Krasnodar

3 Scientific Research Institute Krasnodar Regional Clinical Hospital № 1 named after prof. S.V. Ochapovski, Krasnodar

For correspondence: Myasnikova Victoria Vladimirovna — Dr. Sci. Med., head of the department of anaesthesiology and resuscitation the academician S.N. Fyodorov IRTC «Eye Microsurgery», Krasnodar; e-mail: vivlad7@rambler.ru

For citation: Myasnikova VV, Karakhalis NB, Musaeva TS, Zabolotskikh IB. Perioperative Management of Patients with Tachyarrhythmias in Non-cardiac Surgery. Intensive Care Herald. 2017;1:37–55.


Treatment of patients with cardiovascular diseases has dramatically changed over past decades. Accompanied by an incredible increase in pathophysiological understanding and availability of treatment options, surgical and anesthetic technics have rapidly evolved. The understanding of electrophysiological basics of arrhythmia, pharmacological and non- pharmacological approaches its treatment, in many respects determines clinical efficacy of perioperative management patients with comorbidities by anesthesiologists. This article reviewed Russian and international guidelines and recommendations on tachyarrhythmia’s management in non-cardiac surgery patients. The arrhythmia classifications in respect to potential danger have pointed out with special emphasis on life-threatening ones. It has been shown information about preoperative examination, medication choice in accordance with pro-arrhyhmogenic activity. All arrhythmia issues have presented according to their prevalence in population: supraventricular extrasystole and tachycardia, atrial fibrillation/flutter, ventricular beats, ventricular tachycardia, ventricular fibrillation. Review included the information about such life-threatening rhythm disorders as WPW syndrome and Torsades des pointes. We analyzed perioperative assessment, risk stratification, choice the anesthesia methods, and monitoring settings in arrhythmic patients. The management algorithms of different kinds of tachyarrhythmias have been shown both chronic and acute perioperative cases.

Keywords: tachyarrhythmia, perioperative management, non-cardiac patients, anti-arrhythmic drugs

Received: 15.11.2016


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