KMID : 0364019920250090905
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Korean Journal of Thoracic and Cardiovascular Surgery 1992 Volume.25 No. 9 p.905 ~ p.911
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Postoperative Automatic Junctional Tachycardial Treated with Amiodarone
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Abstract
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Automatic junctional tachycardia is one of common atrial arrhythmia after open heart surgery which is often refractory to antiarrhythmic agents. We have experienced refractory automatic junctional tachycardia in two patients. In the first, it
occured
after cryosurgery for AV nodal reentry tachycardia and simultaneous dissection of a posterior septal bypass tract. In the second, it complicated the postoperative course of a patient who received intracardiac repair for double outlet right
ventricle,
ventricular septal defect, and electrical cardioversion were ineffective. Therefore, amiodarone was administered intravenously and it controlled automatic junctional tachycardia. The need for accurate and rapid diagnosis of this condition along
with
results of treatment are discussed.
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KEYWORD
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