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This is Dr. David
there is a super super small chance that lidocaine and sotalol can increase risks for cardiac arrhythmias
your doctors will monitor you very closely during the lung biopsy procedure
and will be able to detect any heart arrhythmias.
I think the risks are super low
I bet your doctors think the risk is super super low as well.
the combination will not cause your heart to stop beating or beat dangerously slow
you will be fine.
some lung biopsy procedures don't use lidocaine if it is a CT guided fine needle aspiration.
let me know if you have questions.