Treatment of auricular fibrillation after correction of rheumatic heart disease under extracorporeal circulation

Of 372 patients operated on for rheumatic valvular defects under extracorporeal circulation, 221 patients had chronic atrial fibrillation. In 41 patients, the duration of arrhythmia ranged from a few months to 2 years. Sinus rhythm was recovered in 22 patients, using quinidine and electric-impulse t...

Full description

Saved in:
Bibliographic Details
Published inKardiologiia Vol. 23; no. 2; p. 77
Main Authors Konstantinov, B A, Gromova, G V, Alekseeva, L A, Liudinovskova, R A, Kulagina, T I
Format Journal Article
LanguageRussian
Published Russia (Federation) 01.02.1983
Subjects
Adolescent
Adult
Atrial Fibrillation - therapy
Electric Countershock
Extracorporeal Circulation
Female
Follow-Up Studies
Humans
Male
Middle Aged
Postoperative Care
Quinidine - therapeutic use
Rheumatic Heart Disease - surgery
Online AccessGet more information

Cover

More Information
Summary:Of 372 patients operated on for rheumatic valvular defects under extracorporeal circulation, 221 patients had chronic atrial fibrillation. In 41 patients, the duration of arrhythmia ranged from a few months to 2 years. Sinus rhythm was recovered in 22 patients, using quinidine and electric-impulse treatment, and 19 patients have maintained it continuously for many years. Factors contributing to stable and lasting sinus rhythm are an adequate correction of the defect, inactive rheumatic process, and the duration of atrial fibrillation not exceeding 1-2 years. The optimum time for sinus rhythm recovery is 2-6 months after surgery. Sinus rhythm recovery prior to surgical correction of the defect is not recommended.
ISSN:0022-9040