title: Aortic surgery complications evaluated by an implanted continuous electrocardiography device: a case report.
abstract: BACKGROUND
  Cardiac arrhythmias are a major cause for morbidity and mortality in patients undergoing non-cardiac vascular surgery.
  
  
  METHODS
  An implantable loop recorder (Reveal(®) XT) was used for continuous heart rhythm monitoring to detect perioperative arrhythmias in a 69-year-old man undergoing major vascular surgery for an infected aortobifemoral prosthesis. The Reveal(®) detected several episodes of asymptomatic new-onset atrial fibrillation postoperatively, associated with elevated serum levels of troponin-T and N-terminal pro-B-type natriuretic peptide NT-proBNP).
  
  
  CONCLUSIONS
  Continuous heart rhythm monitoring with assessment of serum cardiac biomarkers may allow early identification and treatment of patients at high risk of perioperative cardiovascular complications, in particular, cardiac arrhythmias.
authors.affiliation: Department of Vascular Surgery, Erasmus Medical Center, Rotterdam, The Netherlands.
authors.forename: T A
authors.initials: TA
authors.lastname: Winkel
authors.forename: E V
authors.initials: EV
authors.lastname: Rouwet
authors.forename: J-P
authors.initials: JP
authors.lastname: van Kuijk
authors.forename: M T
authors.initials: MT
authors.lastname: Voute
authors.forename: M
authors.initials: M
authors.lastname: de Melis
authors.forename: H J M
authors.initials: HJ
authors.lastname: Verhagen
authors.forename: D
authors.initials: D
authors.lastname: Poldermans
mesh_terms: D000368:Aged; D001011:Aorta / Q000601:surgery*; D001281:Atrial Fibrillation / Q000097:blood / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy; D015415:Biomarkers / Q000097:blood; D001807:Blood Vessel Prosthesis / Q000009:adverse effects*; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects* / Q000295:instrumentation; D020878:Device Removal; D015716:Electrocardiography, Ambulatory / Q000295:instrumentation*; D004867:Equipment Design; D006801:Humans; D008297:Male; D020097:Natriuretic Peptide, Brain / Q000097:blood; D010446:Peptide Fragments / Q000097:blood; D011237:Predictive Value of Tests; D016459:Prosthesis-Related Infections / Q000209:etiology / Q000601:surgery*; D012086:Reoperation; D016896:Treatment Outcome; D020107:Troponin T / Q000097:blood
chemical_list: D015415:Biomarkers; D010446:Peptide Fragments; D020107:Troponin T; C109794:pro-brain natriuretic peptide (1-76); D020097:Natriuretic Peptide, Brain