| Incidence and prevention of supraventricular tachyarrhythmias after coronary bypass surgery. | |
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MedLine Citation:
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PMID: 3539826 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Supraventricular tachyarrhythmias are a frequent complication encountered after coronary artery bypass grafting. A retrospective survey of 102 consecutive patients undergoing exclusive bypass grafting at St. Mary's Hospital supplemented by a review of 16 published reports over a period of 10 years revealed a mean incidence of post-operative tachyarrhythmia of 33.4% in 1344 patients (range 11.4-100%). One hundred and thirty two patients undergoing exclusive bypass surgery, were randomised prospectively in double blind fashion to receive either oral timolol or matched placebo approximately 24 hours after surgery. In the 66 patients receiving timolol, there was a significant reduction of post-operative arrhythmias compared to the 66 patients receiving placebo: from 19.7 to 7.5% (P less than 0.05). Of all arrhythmias, two thirds appeared under 48 hours after surgery. In the timolol group, 4 patients developed systemic hypotension. This was readily reversed by withdrawing the drug. No other side effects were noted. The use of oral timolol after coronary artery surgery significantly lowers the incidence of post-operative supraventricular arrhythmias. |
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Authors:
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R J Vecht; E P Nicolaides; J K Ikweuke; C Liassides; J Cleary; W B Cooper |
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Publication Detail:
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Type: Clinical Trial; Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: International journal of cardiology Volume: 13 ISSN: 0167-5273 ISO Abbreviation: Int. J. Cardiol. Publication Date: 1986 Nov |
Date Detail:
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Created Date: 1987-01-27 Completed Date: 1987-01-27 Revised Date: 2007-11-15 |
Medline Journal Info:
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Nlm Unique ID: 8200291 Medline TA: Int J Cardiol Country: NETHERLANDS |
Other Details:
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Languages: eng Pagination: 125-34 Citation Subset: IM |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Clinical Trials as Topic Coronary Artery Bypass* Double-Blind Method Female Humans Male Middle Aged Postoperative Complications Prospective Studies Random Allocation Tachycardia, Supraventricular / etiology*, prevention & control Timolol / therapeutic use* |
| Chemical | |
Reg. No./Substance:
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26839-75-8/Timolol |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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