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Pulmonary
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  • 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

   

   
Surgery
   

 

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 |2022-07-20T16:41:51+00:00July 20, 2022|Uncategorized|Comments Off on Pulmonary Disease

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