| Digitalis in pneumonectomy and its implication. | |
| | |
MedLine Citation:
|
PMID: 529326 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
Between 1968 and 1977, 87 patients underwent pneumonectomy at Rhode Island Hospital. Postoperatively, 25 patients developed arrhythmia (29 percent), giving rise to hemodynamic deterioration necessitating aggressive treatment. There were nine hospital deaths (10 percent). The effect of preoperative digitalis was analyzed in 68 patients over age 50 years.In Group 1, digoxin was not used until the onset of arrhythmia. There were 40 patients in this group; 18 developed arrhythmia (45 percent) with four deaths (22 percent).In Group 2, patients were given digitalis preoperatively. There were 28 patients; six developed arrhythmia (21 percent) with no deaths.Thus, the high incidence (45 percent in Group 1 and 21 percent in Group 2), as well as risk of mortality (4/18 patients) from arrhythmia following pneumonectomy, in patients over 50 years of age without digitalization, is a strong indication for preoperative digitalis. |
| | |
Authors:
|
O A Adebo; A K Singh |
Related Documents
:
|
20132616 - Global policies and practices for managing persons exposed to multidrug-resistant tuber... 19517416 - Applied dermatology: overview of flea allergy dermatitis. 21814366 - Spiral computed tomographic evaluation and endodontic management of a mandibular first ... 4986216 - The nature of colicin k from proteus mirabilis. 20594426 - An investigation into the current practice of tooth whitening in a southern english cit... 15125626 - Patient preferences for expectant management vs. surgical evacuation in first-trimester... |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: Journal of the National Medical Association Volume: 71 ISSN: 0027-9684 ISO Abbreviation: J Natl Med Assoc Publication Date: 1979 Jul |
Date Detail:
|
Created Date: 1980-04-25 Completed Date: 1980-04-25 Revised Date: 2010-10-26 |
Medline Journal Info:
|
Nlm Unique ID: 7503090 Medline TA: J Natl Med Assoc Country: UNITED STATES |
Other Details:
|
Languages: eng Pagination: 669-70 Citation Subset: IM |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Arrhythmias, Cardiac
/
etiology,
prevention & control* Digitalis Glycosides / therapeutic use* Digoxin / administration & dosage, therapeutic use Humans Middle Aged Pneumonectomy* Postoperative Complications / prevention & control* |
| Chemical | |
Reg. No./Substance:
|
0/Digitalis Glycosides; 20830-75-5/Digoxin |
| Comments/Corrections | |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Predicting minority student performance in the first medical school year.
Next Document: Metastatic brain tumors in two predominantly black hospitals: a statistical analysis.