a complete medical history and physical exam will be done. Electrocardiography, special electrophysiologic testing, chest x ray, urinalysis, and a blood test are usually also required.
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The patient is monitored for arrhythmias and to ensure that the implantable cardioverter-defibrillator is working properly. The physician also watches for signs of infection
The patient is placed in a supine position on the operating table with her legs in stirrups and the incision site is prepared.
The patient will be placed under general anesthesia for the duration of the procedure. The advantages to general anesthesia are that the patient remains unconscious and completely relaxed during the procedure
In a hospital where the patient can be correctly monitored.
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The patient is prepared by giving an I.V. antibiotic, they must fast overnight, they should stop taking medications (NSAIDs) a week before the procedure and they may be given a sedative just before the test.
the patient has not had anything to eat or drink and will record pulse and blood pressure. The doctor or nurse must be informed if the patient has had any allergic or unusual reactions to drugs in the past.
The patient may be asked to discontinue taking any medications used to help him/her sleep. Before the patient goes to sleep, the technician hooks him or her up to all of the monitors being used.
antibiotics may be given to the patient prior to the procedure; this is known as prophylactic antibiotic treatment. Patients are encouraged to eat prior to surgery
The day before atherectomy, the patient takes medication to prevent blood clots and may be asked to bathe and shampoo with an antiseptic skin cleaner