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KMID : 1148020140390040291
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조선대학교의대논문집
2014 Volume.39 No. 4 p.291 ~ p.294
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Postoperative Atrial Fibrillation after Lobectomy- A Case Report and Review of Literature
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Jung Ki-Tae
Kim Sang-Hun
So Keum-Young
Kim Dong-Woo
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Abstract
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Atrial fibrillation (AF) is a common, benign, and transient type of supraventricular arrhythmia encountered during the early postoperative period after a pulmonary resection. However, it sometimes might result in hemodynamic deterioration. We report on a case of new-onset atrial fibrillation in a 74-year-old male patient after right lower lobectomy, which was not controlled with intermittent bolus injection of esmolol and diltiazem. Successful pharmacological cardioversion was achieved with intravenous (6 mg/hr for 2 hours) followed by oral (90 mg q day) diltiazem 20 hours after this treatment. The literature on the risk factors and management of atrial fibrillation after pulmonary resection is reviewed.
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KEYWORD
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Atrial fibrillation, Diltiazem, Lobectomy, Pulmonary Resection
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