1. Aortic surgery complications evaluated by an implanted continuous electrocardiography device: a case report.
- Author
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Winkel TA, Rouwet EV, van Kuijk JP, Voute MT, de Melis M, Verhagen HJ, and Poldermans D
- Subjects
- Aged, Atrial Fibrillation blood, Atrial Fibrillation etiology, Atrial Fibrillation therapy, Biomarkers blood, Blood Vessel Prosthesis Implantation instrumentation, Device Removal, Equipment Design, Humans, Male, Natriuretic Peptide, Brain blood, Peptide Fragments blood, Predictive Value of Tests, Prosthesis-Related Infections etiology, Reoperation, Treatment Outcome, Troponin T blood, Aorta surgery, Atrial Fibrillation diagnosis, Blood Vessel Prosthesis adverse effects, Blood Vessel Prosthesis Implantation adverse effects, Electrocardiography, Ambulatory instrumentation, Prosthesis-Related Infections surgery
- Abstract
Introduction: Cardiac arrhythmias are a major cause for morbidity and mortality in patients undergoing non-cardiac vascular surgery., Report: An implantable loop recorder (Reveal(®) XT) was used for continuous heart rhythm monitoring to detect perioperative arrhythmias in a 69-year-old man undergoing major vascular surgery for an infected aortobifemoral prosthesis. The Reveal(®) detected several episodes of asymptomatic new-onset atrial fibrillation postoperatively, associated with elevated serum levels of troponin-T and N-terminal pro-B-type natriuretic peptide NT-proBNP)., Discussion: Continuous heart rhythm monitoring with assessment of serum cardiac biomarkers may allow early identification and treatment of patients at high risk of perioperative cardiovascular complications, in particular, cardiac arrhythmias., (Copyright © 2010 European Society for Vascular Surgery. Published by Elsevier Ltd. All rights reserved.)
- Published
- 2011
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