| Postbypass arrhythmias: pathophysiology, prevention, and therapy. | |
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MedLine Citation:
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PMID: 15385747 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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PURPOSE OF REVIEW: To review the medical literature on new-onset arrhythmias after cardiac bypass surgery in adults, focusing on the most recent advances on this topic. RECENT FINDINGS: Main attention is focused on possible predictors and prevention of postoperative atrial fibrillation, because this arrhythmia is the most common type encountered with cardiac surgery and is associated with increased morbidity and mortality and longer, more expensive hospital stays. Therapeutic management of atrial fibrillation favors class III antiarrhythmic agents like amiodarone and sotalol. Direct-current cardioversion proved to be an ineffective method for treatment of supraventricular tachyarrhythmias. In patients with persistent atrioventricular block or sinus node dysfunction after cardiac valve surgery, a risk score to predict the need for permanent pacing after cardiac valve surgery was developed. This scoring system may be useful for pre- and perioperative management of patients undergoing cardiac valve surgery. SUMMARY: Recent studies demonstrate a continued effort to improve our knowledge about postbypass arrhythmias. New insights in the pathophysiology of postoperative cardiac arrhythmias and advances in prevention and therapy are rapid and results are heterogeneous, so it is difficult for the clinician to keep abreast with these new findings. |
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Authors:
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Hans Knotzer; Martin W Dünser; Andreas J Mayr; Walter R Hasibeder |
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Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: Current opinion in critical care Volume: 10 ISSN: 1070-5295 ISO Abbreviation: Curr Opin Crit Care Publication Date: 2004 Oct |
Date Detail:
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Created Date: 2004-09-23 Completed Date: 2005-01-28 Revised Date: 2007-11-15 |
Medline Journal Info:
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Nlm Unique ID: 9504454 Medline TA: Curr Opin Crit Care Country: United States |
Other Details:
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Languages: eng Pagination: 330-5 Citation Subset: IM |
Copyright Information:
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Copyright 2004 Lippincott Williams & Wilkins |
Affiliation:
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Department of Anesthesiology and Critical Care Medicine, Medical University Innsbruck, Austria. johann.knotzer@uibk.ac.at |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Arrhythmias, Cardiac
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classification,
etiology*,
prevention & control,
therapy Atrial Fibrillation / etiology, prevention & control, therapy Coronary Artery Bypass / adverse effects* Humans Intensive Care Risk Factors Tachycardia, Supraventricular / etiology, prevention & control, therapy |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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