Based on most current research regarding the more widespread use of class IC antiarrhythmic drugs, what are your prescribing practices in patients with coronary artery disease?

To further elaborate, what level of obstruction with a normal stress test would be acceptable, and what would be too high risk? Would you consider an asymptomatic patient with incidentally found chronic total occlusion with collaterals, normal echo, and a normal exercise stress test high risk?

Answer from: at Community Practice

Fair question, as we know the definition of "structural heart disease" is unknown. In the trial, it was likely ischemia driving the poor outcomes, so I will get stress with imaging on everyone >50 years old (CAD risk). Given the common finding of "questionable" stent placement in the community, I...

Comments

at Brigham Health Inc
I would disagree. The CAST trial in 1991 enrolled ...

at Hartford HealthCare Medical Group
After CAST, Type IC agents have been contraindicat...

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Based on most current research regarding the more widespread use of class IC antiarrhythmic drugs, what are your prescribing practices in patients with coronary artery disease?

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