Clinical Physiology of Circulation

Chief Editor

Leo A. Bockeria, MD, PhD, DSc, Professor, Academician of Russian Academy of Sciences, President of Bakoulev National Medical Research Center for Cardiovascular Surgery


Профилактика предсердных тахиаритмий после операций по поводу ишемической болезни сердца и постинфарктной аневризмы левого желудочка с конечным диастолическим объемом более 300 мл

Link: Clinical Physiology of Blood Circulaiton. 2007; (): -

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Abstract

Between 2005 and 2007, 33 patients operated for ischemic heart disease and postinfarction left ventricle aneurysm with end-diastolic volume more than 300 ml, were examined in reanimation and in intensive care unit of Institute for coronary and vascular surgery of Bakulev SCCVS RAMS. There were 30 men and 3 women at the age of 40 - 65 (mean age was 50 years). All patients had 1 - 3 myocardial infarctions in history. Patients with III - IV NYHA functional class of angina were predominant. There were 30 complaints about intermittence of heart rhythm. Rhythm and conduction disturbances with supraventricular extrasystoles were diagnosed in 23 patients, paroxysmal atrial fibrillation in 6 patients, paroxysmal supraventricular tachycardia in 2 patients. During 10 days before the operation we used amiodarone. Amiodarone infusion in postoperative period was continued during 10 days. After amiodarone therapy we revealed significant reduction of atrial fibrillation risk up to 6%. So, perioperative course with amiodarone during 20 days is effective, safe and efficient approach to atrial tachyarrythmias after surgical treatment of postinfarction left ventricle aneurysms with end-diastolic volume more than 300 ml.

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