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冠状动脉搭桥手术的预防性洋地黄化

Prophylactic digitalization for coronary artery bypass surgery.

作者信息

Johnson L W, Dickstein R A, Fruehan C T, Kane P, Potts J L, Smulyan H, Webb W R, Eich R H

出版信息

Circulation. 1976 May;53(5):819-22. doi: 10.1161/01.cir.53.5.819.

DOI:10.1161/01.cir.53.5.819
PMID:1083313
Abstract

One hundred and twenty patients undergoing aortocoronary bypass procedures were randomly placed into control and digitalized groups. All were initially in normal sinus rhythm and without evidence of congestive heart failure. Supraventricular arrhythmias occurred in 17 of 66 controls and in only three of 54 digitalized patients (P less than 0.01). There was no evidence of digitals toxicity. Based on this evidence we recommend prophylactic digitalization for patients having aortocoronary bypass operations.

摘要

120例接受主动脉冠状动脉搭桥手术的患者被随机分为对照组和洋地黄化组。所有患者最初均为正常窦性心律,且无充血性心力衰竭的证据。66例对照组患者中有17例发生室上性心律失常,而54例洋地黄化患者中仅3例发生室上性心律失常(P<0.01)。没有洋地黄中毒的证据。基于这一证据,我们建议对接受主动脉冠状动脉搭桥手术的患者进行预防性洋地黄化。

相似文献

1
Prophylactic digitalization for coronary artery bypass surgery.冠状动脉搭桥手术的预防性洋地黄化
Circulation. 1976 May;53(5):819-22. doi: 10.1161/01.cir.53.5.819.
2
Immediate postoperative digitalization in the prophylaxis of supraventricular arrhythmias following coronary artery bypass.
J Thorac Cardiovasc Surg. 1981 Mar;81(3):419-22.
3
Supraventricular arrhythmias following coronary artery bypass. The effect of preoperative digitalis.
J Thorac Cardiovasc Surg. 1983 Oct;86(4):594-600. doi: 10.1016/0022-460x(83)91023-4.
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Supraventricular tachyarrhythmias after myocardial revascularization: a randomized trial of prophylactic digitalization.心肌血运重建术后的室上性快速心律失常:预防性洋地黄化的一项随机试验
J Thorac Cardiovasc Surg. 1979 Feb;77(2):310-4.
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Digoxin prophylaxis following coronary artery bypass surgery.冠状动脉搭桥手术后的地高辛预防治疗
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Postoperative supraventricular arrhythmias and the role of prophylactic digoxin in cardiac surgery.心脏手术后的室上性心律失常及预防性使用地高辛在心脏手术中的作用。
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7
Prophylactic digitalization fails to control dysrhythmia in thoracic esophageal operations.预防性洋地黄化未能控制胸段食管手术中的心律失常。
Ann Thorac Surg. 1993 Jan;55(1):86-8. doi: 10.1016/0003-4975(93)90478-z.
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[Preventive digitalis therapy in open thoracotomy].开胸手术中的预防性洋地黄治疗
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Prevention of supraventricular arrhythmias after coronary artery bypass surgery. A meta-analysis of randomized control trials.冠状动脉搭桥术后室上性心律失常的预防。随机对照试验的荟萃分析。
Circulation. 1991 Nov;84(5 Suppl):III236-44.
10
Digitalization for prevention of arrhythmias following pulmonary surgery.
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引用本文的文献

1
Role of biatrial pacing in prevention of atrial fibrillation after coronary artery bypass surgery.双心房起搏在冠状动脉搭桥术后预防心房颤动中的作用。
Indian Pacing Electrophysiol J. 2005 Jan 1;5(1):5-11.
2
Verapamil-potassium cardioplegia: a two-year experience with 470 patients.维拉帕米钾心脏停搏液:470例患者的两年经验
Tex Heart Inst J. 1986 Mar;13(1):69-75.
3
Atrial tachyarrhythmia after cardiac surgery.心脏手术后的房性快速心律失常。
Intensive Care Med. 1998 Jul;24(7):654-62. doi: 10.1007/s001340050641.
4
Efficacy of low-dose propranolol in preventing postoperative supraventricular tachyarrhythmias: a prospective, randomized study.小剂量普萘洛尔预防术后室上性快速心律失常的疗效:一项前瞻性随机研究。
Ann Surg. 1982 Aug;196(2):194-7. doi: 10.1097/00000658-198208000-00012.
5
Arrhythmias after coronary bypass surgery.冠状动脉搭桥手术后的心律失常
Br Heart J. 1984 Jun;51(6):618-21. doi: 10.1136/hrt.51.6.618.
6
Intravenous sotalol for the treatment of atrial fibrillation and flutter after cardiopulmonary bypass. Comparison with disopyramide and digoxin in a randomised trial.静脉注射索他洛尔用于治疗体外循环后的心房颤动和扑动。在一项随机试验中与丙吡胺和地高辛的比较。
Br Heart J. 1985 Jul;54(1):86-90. doi: 10.1136/hrt.54.1.86.
7
Intraoperative identification of cardiac patients at risk to develop postoperative atrial fibrillation.术中识别有发生术后房颤风险的心脏病人。
Ann Surg. 1991 May;213(5):388-91; discussion 391-2. doi: 10.1097/00000658-199105000-00002.