Nodal Tachycardia Induced By Neostigmine Administration During Off-Pump Coronary Artery Bypass Graft Surgery: What Makes the Difference? A Case Report.

IF 0.7 4区 医学 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS Heart Surgery Forum Pub Date : 2023-04-15 DOI:10.1532/hsf.5141
Xuena
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引用次数: 1

Abstract

Controlling the heart rate (HR) to a proper level is an important part during off-pump coronary artery bypass graft (CABG) surgery, particularly in two aspects. First, the oxygen consumption during cardiac work could be decreased, which is obviously beneficial for the myocardium suffering from inadequate blood supply. Second, slow heart action makes it easy for surgeons to perform. There are some treatments for lowering HR, where neostigmine is not commonly used but usually effective, which had been discussed more than 50 years ago. However, there are adverse responses that cannot be ignored and are even dangerous, for example, severe bradyarrhythmia and overload of secretion in the trachea. Here, we report a nodal tachycardia case after neostigmine infusion.

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非体外循环冠状动脉搭桥手术中新斯的明引起的结性心动过速:有何区别?一个病例报告。
将心率控制在合适的水平是非体外循环冠状动脉旁路移植术的重要组成部分,特别是在两个方面。首先,可以减少心脏工作时的耗氧量,这对供血不足的心肌有明显的好处。其次,缓慢的心脏运动使外科医生更容易进行手术。有一些降低心率的治疗方法,其中新斯的明不常用,但通常有效,这在50多年前就已经讨论过了。然而,也有不可忽视的不良反应,甚至是危险的,例如,严重的慢速心律失常和气管分泌过多。在此,我们报告一例新斯的明输注后的结性心动过速病例。
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来源期刊
Heart Surgery Forum
Heart Surgery Forum 医学-外科
CiteScore
1.20
自引率
16.70%
发文量
130
审稿时长
6-12 weeks
期刊介绍: The Heart Surgery Forum® is an international peer-reviewed, open access journal seeking original investigative and clinical work on any subject germane to the science or practice of modern cardiac care. The HSF publishes original scientific reports, collective reviews, case reports, editorials, and letters to the editor. New manuscripts are reviewed by reviewers for originality, content, relevancy and adherence to scientific principles in a double-blind process. The HSF features a streamlined submission and peer review process with an anticipated completion time of 30 to 60 days from the date of receipt of the original manuscript. Authors are encouraged to submit full color images and video that will be included in the web version of the journal at no charge.
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