Category: Cardiology

L isomer is mainly beta blocker while D isomer has mainly Class III effect. If D-sotalol is being used, a beta blocker may to be added for better

ICD Follow Up Goals: Assess system integrity, proper programming for better battery life.

Criticism of MADIT Trial: Beta blocker use was more in the ICD arm than conventional therapy arm, which could have contributed to better results in the ICD.

Potential problem of using amiodarone in ICD recipients: may raise defibrillation threshold, may slow down VT below the detection rate.

Strategies for prevention of SCD at community level

Wide QRS tachycardia

Bivalirudin is a synthetic 20 amino acid polypeptide. It interacts bivalently with both active catalytic site and exosite 1 of thrombin. Bivalirudin inactivates both free and fibrin bound thrombin.

Dabigatran Etexilate: Re-LY trial - Dabigatran vs warfarin for preventing stroke and systemic embolic events in atrial fibrillation.

Idraparinux for prevention of thromboembolism in atrial fibrillation

CHADS2 score was developed to assess the risk of thromboembolism in non valvar atrial fibrillation. Scores were allotted to various risk factors as follows: Congestive heart failure: 1 History of