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Peri-operative dysrhythmias in patients undergoing major vascular surgery – a preliminary report

Published online by Cambridge University Press:  16 August 2006

G. D. Shorten ,
M. E. Comunale ,
M. Cohen ,
L. Robertson  and
A. Darvish
G. D. Shorten
Affiliation:
Department of Anaesthesia and Critical Care, Beth Israel Hospital, Boston, USA
M. E. Comunale
Affiliation:
Department of Anaesthesia and Critical Care, Beth Israel Hospital, Boston, USA
M. Cohen
Affiliation:
Department of Anaesthesia and Critical Care, Beth Israel Hospital, Boston, USA
L. Robertson
Affiliation:
Department of Anaesthesia and Critical Care, Beth Israel Hospital, Boston, USA
A. Darvish
Affiliation:
Department of Anaesthesia and Critical Care, Beth Israel Hospital, Boston, USA
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Abstract

The objective of this prospective study was to determine the nocturnal/diurnal distribution of peri-operative cardiac dysrhythmias in patients with coronary artery disease undergoing major vascular surgery. Eight patients with significant coronary artery disease undergoing major vascular surgery were studied. Continuous Holter monitoring was performed on each patient from approximately 1 h pre-operatively until 2–5 days post-operatively. Frequencies of isolated supraventricular and ventricular premature beats, and runs of supraventricular and ventricular premature beats were calculated for 6-h periods (00.00–06.00; 06.00–12.00; 12.00–18.00; 18.00–24.00 hours). Supraventricular tachycardia occurred significantly more frequently between 00.00 and 06.00 hours than during the other 6-h periods studied in the post-operative period following major vascular surgery.

Keywords

dysrhythmiassupraventricularventricularsurgeryvascular
Type
Original Article
Information
European Journal of Anaesthesiology , Volume 15 , Issue 1 , January 1998 , pp. 16 - 20
Copyright
1998 European Society of Anaesthesiology

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