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KMID : 0364019920250060672
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Korean Journal of Thoracic and Cardiovascular Surgery
1992 Volume.25 No. 6 p.672 ~ p.677
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Therapy for Postoperative Cardiac Arrhythmia in Patient with Mitral Valve Surgery
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조건현
심재천/김치경/왕영필/이선희/곽문섭/김세화/이홍균
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Abstract
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This is a clinical review of the results from electric cardioversion and pharmacological therapy used in our hospital for reverting cardiac arrythmia in patients with mitral valve surgery between Jan. 1990 and Jun. 1991.
Of 62 evaluated patients, 16 patients had regular sinus rhythm and the other 46 had arrhythmias (42 ; atrial fibrillation 1 ; atrial flutter 1 ; premature ventricular contraction) preoperatively. In 2 of patients with sinus rhythm, atrial
fibrillation
newly developed after surgery and was converted into sinus rhythm soon by intravenous administration of digoxin. Remaining 14 patient resumed sinus rhythm spontaneously. In patients with preoperative arrythmia, 3 patients reverted into sinus
rhythm
from
atrial fibrillation by electric cardioversion at operative field, 1 patient by lidocain and mexiletine, 4 patients by combined use of digoxin and verapamil, 4 patients by 2 times of oral quinidine and 9 patient by long term use of oral
amiodarone.
Throughout this consecutive trials of anti-arrhythmic drugs and electric cardioversion, Conversion into normal sinus rhythm occurred in 48% of patients with arrhythmia developed after mitral valve surgery.
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KEYWORD
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