MANAGEMENT OF POSTOPERATIVE JUNCTIONAL ECTOPIC TACHYCARDIA BY SURFACE HYPOTHERMIA

被引:0
|
作者
WILKEN, M [1 ]
PAUL, T [1 ]
ZIEMER, G [1 ]
KALLFELZ, HC [1 ]
机构
[1] HANNOVER MED SCH,THORAX HERZ & GEFASSCHIRURG KLIN,W-3000 HANNOVER 61,GERMANY
来源
ZEITSCHRIFT FUR KARDIOLOGIE | 1993年 / 82卷 / 06期
关键词
POSTOPERATIVE JUNCTIONAL ECTOPIC TACHYCARDIA; SURFACE HYPOTHERMIA;
D O I
暂无
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Postoperative junctional ectopic tachycardia is associated with a poor prognosis in patients after open-heart surgery. This dysrhythmia has been shown to be resistant to medical treatment as well as to epicardial pacing and external cardioversion. Successful therapy with surface hypothermia in an infant with junctional ectopic tachycardia (ventricular rate 210-230 bpm) after repair of tetralogy of Fallot is presented. Hypothermia (rectal temperature 32-34-degrees-C) was effective in decreasing the ventricular rate of the dysrhythmia (< 170 bpm). After spontaneous cessation of the tachycardia, sinus rhythm resumed, resulting in stable hemodynamics.
引用
收藏
页码:376 / 379
页数:4
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