HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Tyras, D. H. Articles by Willman, V. L. Search for Related Content PubMed PubMed Citation Articles by Tyras, D. H. Articles by Willman, V. L.

The Journal of Thoracic and Cardiovascular Surgery, Vol 77, 310-314, Copyright © 1979 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association

ARTICLES

Supraventricular tachyarrhythmias after myocardial revascularization: a randomized trial of prophylactic digitalization

DH Tyras, JC Stothert Jr, GC Kaiser, HB Barner, JE Codd and VL Willman

The success of prophylactic digitalization in reducing the incidence of supraventricular tachyarrhythmias (SVT) was studied in 140 randomly grouped, consecutive patients undergoing myocardial revascularization operations. The test group received either 1 or 1.5 mg. of digoxin the day before operation and were maintained postoperatively on 0.25 mg. of digoxin daily. There was a significant increase (p less than 0.05) in the incidence of SVT in the treated patients (17 of 61 or 27.8 percent) vs. the untreated patients (nine of 79 or 11.4 percent). There was no significant difference in SVT with the two digitalization dosage levels (31.6 percent with 1 mg. vs. 21.7 percent with 1.5 mg.). Prophylactic digitalization demonstrates no benefit in the prevention of SVT following myocardial revascularization and may, in fact, predispose the patient to these arrhythmias.

This article has been cited by other articles:

				D. Bradley, L. L. Creswell, C. W. Hogue Jr., A. E. Epstein, E. N. Prystowsky, and E. G. Daoud Pharmacologic Prophylaxis: American College of Chest Physicians Guidelines for the Prevention and Management of Postoperative Atrial Fibrillation After Cardiac Surgery Chest, August 1, 2005; 128(2_suppl): 39S - 47S. [Abstract] [Full Text] [PDF]

				R. J. DiDomenico and M. G. Massad Pharmacologic Strategies for Prevention of Atrial Fibrillation After Open Heart Surgery Ann. Thorac. Surg., February 1, 2005; 79(2): 728 - 740. [Abstract] [Full Text] [PDF]

				E. Kuralay, F. Cingoz, S. Kilic, C. Bolcal, C. Gunay, U. Demirkilic, and H. Tatar Supraventricular tachyarrythmia prophylaxis after coronary artery surgery in chronic obstructive pulmonary disease patients (early amiodarone prophylaxis trial) Eur. J. Cardiothorac. Surg., February 1, 2004; 25(2): 224 - 230. [Abstract] [Full Text] [PDF]

				L. L. Creswell and R. J. Damiano Jr Postoperative atrial fibrillation: An old problem crying for new solutions J. Thorac. Cardiovasc. Surg., March 1, 2003; 125(90030): S20 - 23. [Full Text] [PDF]

				W. H. Maisel, J. D. Rawn, and W. G. Stevenson Atrial Fibrillation after Cardiac Surgery Ann Intern Med, December 18, 2001; 135(12): 1061 - 1073. [Abstract] [Full Text] [PDF]

				L. L. Creswell and R. J. Damiano Jr Postoperative atrial fibrillation: An old problem crying for new solutions J. Thorac. Cardiovasc. Surg., April 1, 2001; 121(4): 638 - 641. [Full Text] [PDF]

				C. Sticherling, H. Oral, J. Horrocks, S. P. Chough, R. L. Baker, M. H. Kim, K. Wasmer, F. Pelosi, B. P. Knight, G. F. Michaud, et al. Effects of Digoxin on Acute, Atrial Fibrillation-Induced Changes in Atrial Refractoriness Circulation, November 14, 2000; 102(20): 2503 - 2508. [Abstract] [Full Text] [PDF]

				P. Evrard, M. Gonzalez, J. Jamart, B. Malhomme, D. Blommaert, P. Eucher, and E. Installe Prophylaxis of supraventricular and ventricular arrhythmias after coronary artery bypass grafting with low-dose sotalol Ann. Thorac. Surg., July 1, 2000; 70(1): 151 - 156. [Abstract] [Full Text] [PDF]

				H. Dorge, F. A. Schoendube, M. Schoberer, C. Stellbrink, M. Voss, and B. J. Messmer Intraoperative amiodarone as prophylaxis against atrial fibrillation after coronary operations Ann. Thorac. Surg., May 1, 2000; 69(5): 1358 - 1362. [Abstract] [Full Text] [PDF]

				K. A. Eagle, R. A. Guyton, R. Davidoff, G. A. Ewy, J. Fonger, T. J. Gardner, J. P. Gott, H. C. Herrmann, R. A. Marlow, W. C. Nugent, et al. ACC/AHA guidelines for coronary artery bypass graft surgery: A report of the American College of Cardiology/ American Heart Association task force on Practice Guidelines (Committee to revise the 1991 Guidelines for Coronary Artery Bypass Graft Surgery) J. Am. Coll. Cardiol., October 1, 1999; 34(4): 1262 - 1347. [Full Text] [PDF]

				E. Kuralay, E. Ozal, U. Demirkilic, and H. Tatar EFFECT OF POSTERIOR PERICARDIOTOMY ON POSTOPERATIVE SUPRAVENTRICULAR ARRHYTHMIAS AND LATE PERICARDIAL EFFUSION (POSTERIOR PERICARDIOTOMY) J. Thorac. Cardiovasc. Surg., September 1, 1999; 118(3): 492 - 495. [Abstract] [Full Text] [PDF]

				T. Guarnieri, S. Nolan, S. O. Gottlieb, A. Dudek, and D. R. Lowry Intravenous amiodarone for the prevention of atrial fibrillation after open heart surgery: the amiodarone reduction in coronary heart (ARCH) trial J. Am. Coll. Cardiol., August 1, 1999; 34(2): 343 - 347. [Abstract] [Full Text] [PDF]

				C L. Birincioglu, A T. Ulus, B. Yamak, S F. Katircioglu, B. Mavitas, and O. Tasdemir Intravenous Diltiazem for Treatment of Supraventricular Tachycardia After Coronary Artery Bypass Surgery Asian Cardiovasc Thorac Ann, September 1, 1998; 6(3): 203 - 207. [Abstract] [Full Text] [PDF]