Speciality
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Respiratory – Pulmonary – Asthma


 

 





Pulmonary Disease

    

  • Curtis JJ, Parker BM, Mckenney CA, et al


    Incidence and Predictors of Supraventricular Dysrhythmias after Pulmonary Resection.


    Ann. Thorac. Surg 66: 1766-1771, 1998

        


    Patients undergoing pulmonary resection were prospectively examined to study the incidence of and predictors for the development of supraventricular dysrhythmias Holter monitoring was performed preoperatively, on the day of surgery and the second day, as well as continuous cardiac monitoring throughout hospitalization in 116 patients who underwent pulmonary resection.

        


    Of 116 patients the mean age of 77 men and 39 women was 59.8 years [range 20 to 80 years]; 26 had pneumonectomy, 7 bilobectomy, 47 lobectomy and 36 wedge resection. Twenty-six patients [22.4%] had dysrhythmias; 22 had atrial fibrillation, 3 atrial flutter/fibrillation, and 1 atrial flutter.

        


    The rate of atrial fibrillation with pneumonectomy was 46.1% bilobectomy 14.3%, lobectomy 17% and wedge resection 13.8%.

       


    In 26 patients undergoing pneumonectomy 31% needed pharmacologic therapy compared to only 16% of the rest undergoing lesser resections.

       


    Peak incidence of atrial fibrillation occurred on postoperative day 2 and 3 and lasted 1 to 7 days; and was seen in patients over the age of 64 years.

        


    Of the 30 pre and postoperative variables evaluated none were significant predictors for the development of postoperative atrial fibrillation

        


 



 

 

Speciality Spotlight

 

 

Pulmonary Disease
    

  • Curtis JJ, Parker BM, Mckenney CA, et al
    Incidence and Predictors of Supraventricular Dysrhythmias after Pulmonary Resection.
    Ann. Thorac. Surg 66: 1766-1771, 1998
        
    Patients undergoing pulmonary resection were prospectively examined to study the incidence of and predictors for the development of supraventricular dysrhythmias Holter monitoring was performed preoperatively, on the day of surgery and the second day, as well as continuous cardiac monitoring throughout hospitalization in 116 patients who underwent pulmonary resection.
        
    Of 116 patients the mean age of 77 men and 39 women was 59.8 years [range 20 to 80 years]; 26 had pneumonectomy, 7 bilobectomy, 47 lobectomy and 36 wedge resection. Twenty-six patients [22.4%] had dysrhythmias; 22 had atrial fibrillation, 3 atrial flutter/fibrillation, and 1 atrial flutter.
        
    The rate of atrial fibrillation with pneumonectomy was 46.1% bilobectomy 14.3%, lobectomy 17% and wedge resection 13.8%.
       
    In 26 patients undergoing pneumonectomy 31% needed pharmacologic therapy compared to only 16% of the rest undergoing lesser resections.
       
    Peak incidence of atrial fibrillation occurred on postoperative day 2 and 3 and lasted 1 to 7 days; and was seen in patients over the age of 64 years.
        
    Of the 30 pre and postoperative variables evaluated none were significant predictors for the development of postoperative atrial fibrillation
        

 

 

By |2022-07-20T16:41:32+00:00July 20, 2022|Uncategorized|Comments Off on Pulmonary Disease

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