Document Detail


Cardiac arrhythmias in cardiothoracic surgery.
MedLine Citation:
PMID:  12122833     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Most patients with cardiopulmonary disease are predisposed to develop perioperative arrhythmias with the individual patient risk depending upon the type of operative procedure performed, the risk profile of the patient, and the complexity of the post-operative course. There are several management options that may tend to prevent perioperative arrhythmias that should be considered in certain patient subsets. Most important of these is the use of beta-blocker therapy before and after operation in patients with coronary risks factors undergoing non-cardiac thoracic procedures and in patients having coronary artery bypass grafting. The common supraventricular arrhythmias including atrial fibrillation and flutter, multifocal atrial tachycardia, and paroxysmal supraventricular tachycardia must be properly diagnosed and treated appropriately. Placement of atrial pacing wires for use after open cardiac surgery is of great value both for diagnosis, and in some cases, for treatment of arrhythmias. Fortunately, serious life threatening ventricular arrhythmias occurs less commonly but the clinician must recognize and correct important predisposing factors and know how to treat these when they occur. A specific protocol for arrhythmia management that sets guidelines for drug choice and therapies for each of the common arrhythmias is useful for clinicians and adds predictability to patient care.
Authors:
Vincent R Conti; David L Ware
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Chest surgery clinics of North America     Volume:  12     ISSN:  1052-3359     ISO Abbreviation:  Chest Surg. Clin. N. Am.     Publication Date:  2002 May 
Date Detail:
Created Date:  2002-07-18     Completed Date:  2003-01-13     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  9208495     Medline TA:  Chest Surg Clin N Am     Country:  United States    
Other Details:
Languages:  eng     Pagination:  439-60, viii     Citation Subset:  IM    
Affiliation:
Department of Surgery, Division of Cardiothoracic Surgery, University of Texas Medical Branch, 301 University Boulevard, Galveston, TX 77555-0528, USA. vconti@utmb.edu
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MeSH Terms
Descriptor/Qualifier:
Arrhythmias, Cardiac / etiology*,  therapy
Cardiac Surgical Procedures*
Clinical Protocols
Humans
Postoperative Complications*
Risk Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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