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Studies have demonstrated that localized accumulation of EAT surrounding the atriarather than overall cardiac adiposityplays a pivotal role in inducing conduction abnormalities that lead to AF (108)
Normally, patients fast before surgery to reduce this risk, but GLP-1 medications can cause food to remain in the stomach longer than expected, increasing the chance of aspiration even after fasting
Clean the injection site with alcohol, allow to dry, pinch the skin lightly if needed, insert the needle at a 45 to 90 degree angle depending on tissue depth, and inject slowly
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Looking Ahead The increasing popularity of GLP-1 agonists outside traditional diabetic populations means emergency physicians will continue to see complications from these agents
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