Supraventricular Arrhythmias after Thoracotomy : Is There a Role for Autonomic Imbalance?
Joint Authors
Vretzakis, George
Stamoulis, Konstantinos
Simeoforidou, Marina
Bareka, Metaxia
Source
Anesthesiology Research and Practice
Issue
Vol. 2013, Issue 2013 (31 Dec. 2013), pp.1-12, 12 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2013-10-23
Country of Publication
Egypt
No. of Pages
12
Main Subjects
Abstract EN
Supraventricular arrhythmias are common rhythm disturbances following pulmonary surgery.
The overall incidence varies between 3.2% and 30% in the literature, while atrial fibrillation is the most common form.
These arrhythmias usually have an uneventful clinical course and revert to normal sinus rhythm, usually before patent’s discharge from hospital.
Their importance lies in the immediate hemodynamic consequences, the potential for systemic embolization and the consequent long-term need for prophylactic drug administration, and the increased cost of hospitalization.
Their incidence is probably related to the magnitude of the performed operative procedure, occurring more frequently after pneumonectomy than after lobectomy.
Investigators believe that surgical factors (irritation of the atria per se or on the ground of chronic inflammation of aged atria), direct injury to the anatomic structure of the autonomic nervous system in the thoracic cavity, and postthoracotomy pain may contribute independently or in association with each other to the development of these arrhythmias.
This review discusses currently available information about the potential mechanisms and risk factors for these rhythm disturbances.
The discussion is in particular focused on the role of postoperative pain and its relation to the autonomic imbalance, in an attempt to avoid or minimize discomfort with proper analgesia utilization.
American Psychological Association (APA)
Vretzakis, George& Simeoforidou, Marina& Stamoulis, Konstantinos& Bareka, Metaxia. 2013. Supraventricular Arrhythmias after Thoracotomy : Is There a Role for Autonomic Imbalance?. Anesthesiology Research and Practice،Vol. 2013, no. 2013, pp.1-12.
https://search.emarefa.net/detail/BIM-470232
Modern Language Association (MLA)
Vretzakis, George…[et al.]. Supraventricular Arrhythmias after Thoracotomy : Is There a Role for Autonomic Imbalance?. Anesthesiology Research and Practice No. 2013 (2013), pp.1-12.
https://search.emarefa.net/detail/BIM-470232
American Medical Association (AMA)
Vretzakis, George& Simeoforidou, Marina& Stamoulis, Konstantinos& Bareka, Metaxia. Supraventricular Arrhythmias after Thoracotomy : Is There a Role for Autonomic Imbalance?. Anesthesiology Research and Practice. 2013. Vol. 2013, no. 2013, pp.1-12.
https://search.emarefa.net/detail/BIM-470232
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-470232