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The GDG uses 'offer' (and similar words such as 'refer' or 'advise') when confident that, for the vast majority of patients, an intervention will do more good than harm, and be cost effective.
Do not take BETAPACE (OR SOTALOL) if you have serious kidney problems, lung disease causing shortness of breath, symptoms of heart failure.
It may also be used empirically in the presence of pre-excitation or disabling symptoms ().
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Catheter ablation of the accessory pathway is recommended in symptomatic patients with pre-excited AF, especially if the accessory pathway has a short refractory period that allows rapid antegrade conduction.
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The three remaining patients had no history of atrial fibrillation and were treated for atrial tachycardia.
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Hearing extra heartbeats or dropped beats helps identify dysrhythmias in the unmonitored patient.
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Dysrhythmias vary in severity and in their effects on cardiac function, which are partially influenced by the site of origin (ventricular or supraventricular).
To my surprise, she told me that she had experienced exactly the same symptom and had also discontinued the treatment.
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Finally, because of the potential for lethal arrhythmias, all patients with WPW syndrome (ie, pre-excitation and arrhythmias) should be referred for further evaluation.
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Thus, patients may present with orthodromic AVRT with RBBB aberrancy and, after termination of the arrhythmia, there may be evidence of a right-sided accessory pathway causing pre-excitation during sinus rhythm.
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Side effects come and go - main ones ear noises - weight gain ( 6kg) - visual disturbance and suppression of heart rate when exercising.
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