Final answer:
The management before surgery in a patient with LBBB involves assessing symptoms, identifying underlying causes, and potentially conducting further diagnostic tests. Medications to control heart rate and rhythm may also be prescribed.
Step-by-step explanation:
The management before surgery in a patient with a Left Bundle Branch Block (LBBB) on a 12-lead EKG involves assessing the patient's symptoms and determining the underlying cause of the LBBB. LBBB can be a marker of underlying cardiac conditions, such as coronary artery disease or heart failure. Therefore, the management may include further diagnostic testing, such as an echocardiogram or stress test, to evaluate the cardiac function and identify any potential surgical risks.
In addition, if the patient has symptoms of arrhythmia or heart failure, the management may involve medications to help control the heart rate and rhythm, such as beta-blockers or antiarrhythmic drugs. Electrolyte imbalances should also be corrected if present.
Ultimately, the specific management plan will depend on the patient's individual circumstances and the recommendations of the healthcare team involved in the patient's care.