Strategies for perioperative arrhythmias Journal Article


Author: Amar, D.
Article Title: Strategies for perioperative arrhythmias
Abstract: Rapid atrial arrhythmias affect close to one million elderly Americans who undergo cardiac or non-cardiac operations annually and have been associated with prolonged hospital stays. In contrast, bradyarrhythmias or ventricular arrhythmias severe enough to require treatment occur in less than 1% of patients who undergo all types of surgery, including cardiac. This article focuses on new issues leading to the improved understanding of the pathophysiology and mechanisms of post-operative atrial arrhythmias. New approaches directed at prophylaxis and acute therapy of atrial arrhythmias are discussed, as are recommendations to prevent thromboembolic events. Practice and research agenda are proposed. © 2004 Elsevier Ltd. All rights reserved.
Keywords: middle aged; surgical technique; clinical trial; united states; pathophysiology; clinical practice; lung toxicity; thrombocytopenia; risk factors; anticoagulant therapy; bradycardia; digoxin; hypomagnesemia; postoperative complications; hospitalization; disease severity; adenosine; acetylsalicylic acid; thromboembolism; medical research; warfarin; heparin; surgery; perioperative period; lidocaine; elderly care; epidural anesthesia; heart atrium arrhythmia; heart atrium fibrillation; atrial fibrillation; beta adrenergic receptor blocking agent; calcium channel blocking agent; heart ventricle arrhythmia; anti-arrhythmia agents; tachycardia, ventricular; heart surgery; antiarrhythmic agent; local anesthetic agent; perioperative care; magnesium; heart supraventricular arrhythmia; amiodarone; heart pacing; flecainide; ibutilide; propafenone; atrial arrhythmias; cardioversion; arrhythmia; humans; human; male; female; priority journal; article; ventricular tachycardia; sotalol; ximelagatran; chemical sympathectomy; heart proarrhythmia
Journal Title: Best Practice and Research: Clinical Anaesthesiology
Volume: 18
Issue: 4
ISSN: 1521-6896
Publisher: Elsevier Inc.  
Date Published: 2004-12-01
Start Page: 565
End Page: 577
Language: English
DOI: 10.1016/j.bpa.2004.05.007
PROVIDER: scopus
PUBMED: 15460546
DOI/URL:
Notes: Best Pract. Res. Clin. Anaesthesiol. -- Cited By (since 1996):10 -- Export Date: 16 June 2014 -- CODEN: BPRCD -- Source: Scopus
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  1. David Amar
    137 Amar