Document Detail


Coronary bypass surgery in exercise-induced ventricular tachycardia.
MedLine Citation:
PMID:  3497032     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Among 400 consecutive patients undergoing conventional isolated bypass surgery, 9 patients had clinical and electrocardiographic evidence of severe ischaemia during exercise and serious exercise-induced ventricular arrhythmias. Four patients had spontaneous exercise-induced arrhythmias and two had been resuscitated for out-of-hospital cardiac arrest. Postoperatively all patients were free of angina, off anti-anginal drugs with considerably increased exercise capacity and maximal heart rate during exercise. No spontaneous or exercise-induced arrhythmias have recurred during observation periods ranging from one to four and a half years. In this subset of patients ischaemia seems to be the crucial arrhythmia-inducing factor and bypass surgery alone may therefore be therapeutic. The reduction of ischaemic exercise-induced arrhythmias may be one way by which bypass surgery reduces mortality in larger patient series.
Authors:
K Rasmussen; P I Lunde; M Lie
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  European heart journal     Volume:  8     ISSN:  0195-668X     ISO Abbreviation:  Eur. Heart J.     Publication Date:  1987 May 
Date Detail:
Created Date:  1987-09-11     Completed Date:  1987-09-11     Revised Date:  2008-11-21    
Medline Journal Info:
Nlm Unique ID:  8006263     Medline TA:  Eur Heart J     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  444-8     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Aged
Bundle-Branch Block / surgery
Coronary Artery Bypass*
Coronary Disease / surgery*
Electrocardiography
Follow-Up Studies
Heart Ventricles
Humans
Male
Middle Aged
Myocardial Infarction / surgery
Physical Exertion*
Tachycardia / surgery*
Ventricular Fibrillation / surgery

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


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