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Ann R Coll Surg Engl. 2007 Mar;89(2):91-5.

Postoperative arrhythmias in general surgical patients.

Author information

1
Cambridge Vascular Research Unit, Cambridge University Hospitals NHS Foundation Trust, Addenbrooke's Hospital, Cambridge, UK.

Abstract

INTRODUCTION:

New-onset arrhythmias are a common problem in cardiothoracic surgery. They are also common following major non-cardiac surgery. This review examines the available literature to establish the incidence and significance of new-onset arrhythmias following major non-cardiothoracic surgery.

MATERIALS AND METHODS:

A literature search was performed using the Medline and Pubmed databases using the terms 'post-operative arrhythmia', 'peri-operative arrhythmia', 'atrial fibrillation/flutter', 'supraventricular arrhythmia/tachycardia', 'cardiac complications' and 'non-cardiothoracic surgery'. Articles were cross-referenced for additional relevant publications and reviewed for data regarding new-onset arrhythmias following major non-cardiothoracic surgery.

RESULTS:

There was considerable heterogeneity in the literature regarding cardiac monitoring, types of arrhythmias considered and potential associations investigated, thus hindering interpretation. The available data suggest that new-onset arrhythmias affect about 7% of patients following major non-cardiothoracic surgery. These arrhythmias are often associated with other underlying complications.

PMID:
17346395
PMCID:
PMC1964549
DOI:
10.1308/003588407X168253
[Indexed for MEDLINE]
Free PMC Article
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