[Supraventricular arrhythmia after pneumonectomy. Apropos of 100 cases and review of the literature].
Supraventricular arrhythmias are frequently observed in pneumonectomy surgery. We retrospectively studied a series of 100 consecutive patients undergoing pneumonectomy for cancer between 1994 and 1996. We found 24% of significant supraventricular arrhythmias, corresponding to atrial fibrillation in 75% of cases, occurring in 80% of cases until the third postoperative day. The only risk factor significantly associated with these arrhythmias was the patient's age. These arrhythmias are easily reduced, spontaneously in 25% of cases, and usually by amiodarone, alone or associated with digitalis alkaloids. While the mortality of the overall group was 12%, 8% of patients with arrythmia died. These deaths concerned patients whose arrythmias occurred after the fourth postoperative day in a context of a pulmonary infection.
Service de Cardiologie Syndicat Inter Hospitalier de la Communauté Urbaine de Strasbourg (CMCO), Schiltigheim.
M P
MP
Douchet
P
P
Barsotti
M
M
Schneeberger
C
C
Bauer
G
G
Massard
C
C
Brechenmacher
J M
JM
Wihlm
D000368:Aged; D000638:Amiodarone / Q000627:therapeutic use; D000889:Anti-Arrhythmia Agents / Q000627:therapeutic use; D001281:Atrial Fibrillation / Q000188:drug therapy / Q000209:etiology*; D005260:Female; D006801:Humans; D008175:Lung Neoplasms / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011013:Pneumonectomy / Q000009:adverse effects*; D011183:Postoperative Complications; D013617:Tachycardia, Supraventricular / Q000188:drug therapy / Q000209:etiology*
D000889:Anti-Arrhythmia Agents; D000638:Amiodarone
Troubles du rythme supraventriculaire après pneumonectomie. A propos de 100 cas et d'une revue de la littérature.