Anesthetic Management of a Patient with Double Renal Transplant with Ischemic Heart Disease for Spine Surgery: A Case Report

REPORT(RCA) under tirofiban cover.Holter monitoring was done 2 years prior to current admission for palpitations, and it showed supraventricular tachycardia, premature ventricular bigeminy of 1.12%, following which amiodarone 50 mg per day was started.Other medications included tacrolimus 2 mg BD, mycophenolate mofetil 500 mg BD, Wysolone 5 mg OD (for the past 24 years), a combination of rosuvastatin 20 mg, aspirin 75 mg, clopidogrel 75 mg, and antihypertensive nebivolol 10 mg for hypertension as advised by the nephrologist.Her urea was 36 and creatinine 0.9 on the preoperative day.Serum electrolyte values were within normal limits.Liver function tests were normal.Hemoglobin level was 12.2 gm/dL.