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.

References

1. Бокерия Л. А., Федоров Г. Г. Опыт хирургического лечения постинфарктных аневризм и сопутствующих желудочковых тахиаритмий (1981-1999 годы) // Грудная и серд.-сосуд. хир. - 1999. - № 6. - С. 38-45.
2. Бокерия Л. А., Федоров Г. Г. Хирургическое лечение больных с постинфарктными аневризмами сердца и сопутствующими тахиаритмиями // Там же. - 1994. - № 4. - С. 4-8.
3. Браунвальд Е., Иссельбахер К. Дж., Петерсдорф Р. Г. и др. Болезни сердечно-сосудистой системы. - М.: Медицина, 1995. - С. 286-311.
4. Бузиашвили Ю. И., Асымбекова И. У., Мацкеплишвили С. Т. Диагностика обратимой дисфункции миокарда у больных ишемической болезнью сердца по данным стресс- эхокардиографии // Грудная и серд.-сосуд. хир. - 1999. - № 6. - С. 68-81.
5. Бураковский В. И., Бокерия Л. А. Сердечно-сосудистая хирургия. - М.: Изд-во НЦССХ им. А. Н. Бакулева РАМН, 1989. - С. 573 - 580.
6. Василидзе Т. В. Хирургическое лечение постинфарктных аневризм левого желудочка: Дис. … д-ра мед. наук. - М.,1985.
7. Михеев А. А., Клюжев В. М., Кранин Д. Л. и др. Хирургическое лечение постинфарктных аневризм сердца. - М.: Медпрактика, 2001.
8. Afridi I., Gravburn P. A., Panza J. A. et al. Myocardial viability during dobutamine echocardiography predicts survival in patients with coronary artery disease and severe left ventricular systolic dysfunction // J. Amer. Coll. Cardiol. - 1998. - Vol. 32. - P. 921-926.
9. Andrews T., Reimold S., Berlin J., Antaman E. Prevention of supraventricular arrhythmias after coronary artery bypass surgery. A meta-analysis of randomized control trials // Circulation. - 1991. - Vol. 84 (Suppl. 5). - P. III236-III244
10. Anversa P., Olivetti G., Capasso J. M. et al. Cellular basis of ventricular remodeling after myocardial infarction // Amer. J. Cardiol. - 1991. - Vol. 68. - P. 7D-16D.
11. Barnes E., Vatner S. F., Camici P. G. et al. The viable myocardium // Lancet. - 1998. - Vol. 339. - P. 173-181.
12. Benediktsson R., Eyjolfsson O., Thorgeirsson G. Natural history of chronic left ventricular aneurysm: population based cohort study // J. Clin. Epidemiol. - 1991. - Vol. 44. - P. 1131.
13. Bradley D., Creswell L., Hogue C. et al. Pharmacologic prophylaxis. American College of Chest Physicians Guidelines for thy Prevention and Management of Postoperative Atrial Fibrillation After Cardiac Surgery // Chest. - 2005. - Vol. 128. - P. 39S-47S.
14. Carli Di M. F., Asganzadre F., Schelberth R. et al. Quantitative relation between myocardial viability and improvement in heart failure symptoms after revascularization in patients with ischemic cardiomyopathy // Circulation. - 1995. - Vol. 92. - Р. 36-44.
15. Coltharp W. S., Hoff S. J., Stoney W. S. et al. Ventricular aneurysmectomy. A 25-year experience // Ann. Surg. - 1994. - Vol. 217. - P. 707-714.
16. Cooley D. A. Discussion of Komeda M., David T. E., Malik A., Ivnaov J., Sun Z. Operative risks and long-term results of operation for left ventricular aneurysm // Ann. Thorac. Surg. - 1992. - Vol. 53. - P. 29.
17. Cooley D. A. Ventricular endoaneurysmorrhaphy: a simplified repair for extensive postinfarction aneurysm // J. Cardiac. Surg. - 1989. - Vol. 4. - P. 200.
18. Cooley D. A., Collins H. A., Morris G. C., Chapman D. W. Ventricular aneurysm after myocardial infarction: surgical excision with use of temporary cardiopulmonary bypass // JAMA. - 1958. - Vol. 167. - P. 557.
19. Cooley D. A., Frazier O. H., Duncan J. M. et al. Intracavitary repair of ventricular aneurysm and regional dyskinesia // Ann. Surg. - 1992. - Vol. 215. - P. 417.
20. Crystal E., Connolly S., Sleik K. et al. Interventions in prevention of postoperative atrial fibrillation in patients undergoing heart surgery: a meta-analysis // Circulation. - 2002. - Vol. 106, № 1. - P. 75-80.
21. DiDomenico R., Massad M. Pharmacologic strategies for prevention of atrial fibrillation after open heart Surgery // Ann. Thorac. Surg. - 2005. - Vol. 79, № 2. - P. 728-740.
22. Faxon D. P., Ryan T. J., David K. B. Prognostic significance of angiographically documented left ventricular aneurysm from the Coronary Artery Surgery (CASS) // Amer. J. Cardiol. - 1982. - Vol. 50. - P. 157.
23. Fuster V., Ryden L., Asinger R. et al. ACC/ANA/ESC Guidelines for thy Management of Patients With Atrial Fibrillation: Executive Summary // Circulation. - 2001. - Vol. 104. - P. 2118-2150.
24. Glower D. D., Love J. E. Left ventricular aneurysm // Cardiovasc. Surg. adult-Chapter. - 1990. - Vol. 24. - P. 677-693.
25. Grondin P., Kretz J. G., Bical O. et al. Natural history of the left ventricle // J. Thorac. Cardiovasc. Surg. - 1979. - Vol. 77. - P. 57.
26. Hogue C., Creswell L., Gutterman D., Fleisher L. American College of Chest Physicians Guidelines for the Prevention and Management of Postoperative Atrial Fibrillation After Cardiac Surgery. Epidemiology, mechanisms, and risks // Chest. - 2005. - Vol. 128. - P. 9S-16S.
27. Keren A., Goldberg S., Gottlied S. et al. Natural history of the left ventriclar trombi: their appearance and resotion in the hospitalization period of acute myocardial infarction // J. Amer. Cardiol. - 1990. - Vol. 15. - P. 790.
28. Kim M., Deeb G., Morady F. et al. Effect of postoperative atrial fibrillation on length of stay after cardiac surgery // Amer. J. Cardiol. - 2001. - Vol. 87. - P. 881-885.
29. Mitchell L. Incidence, timing and outcome of atrial tachyarrhythmias after cardiac surgery // Atrial fibrillation after cardiac surgery / Ed. J. Steinberg. - Boston, Mass: Kluwer Academic Publishers, 2000. - P. 37-50.
30. OConnor G. T., Morton J. R., Diehl M. J. et al. Differences between men and women in hospital associated with coronary artery bypass graft surgery // Circulation. - 1993. - Vol. 88, № 1. - P. 2104-2110.
31. Ommen S., Odell J., Stanton M. Atrial arrhythmias after cardiothoracic surgery // N. Engl. J. Med. - 1997. - Vol. 336. - P. 1429-1434.
32. Scherr K., Jensen L., Smith H., Kozak C. Atrial fibrillation following cardiac surgery: a retrospective cohort series // Prog. Cardiovasc. Nurs. - 2006. - Vol. 21, № 1. - P. 7-13.
33. Sheldon R., Mitchell L., Duff H. et al. Right and left ventricular function during chronic amiodarone therapy // Amer. J. Cardiol. - 1998. - Vol. 62. - P. 736-740.
34. Villareal R., Haritharam R., Liu B. et al. Postoperative atrial fibrillation and mortality after coronary artery bypass surgery // J. Coll. Cardiol. - 2004. - Vol. 43, № 5. - P. 742-748.

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