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Noninvasive Determination of Vortex Formation Time Using Transesophageal Echocardiography During Cardiac Surgery
04:48

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Published on: November 28, 2018

[Cardiac arrhythmias during an elective cholecystectomy]

E I Bat'ianova, A A Dzizinskiĭ, L K Kulikov

    Klinicheskaia Meditsina
    |May 11, 2005
    PubMed

    Insights

    Cholecystectomy surgery can cause cardiac arrhythmias (CA), particularly open laparotomy. Pre-existing heart enlargement and specific rhythm changes predict dangerous arrhythmias during this gallbladder removal surgery.

    Area of Science:

    • Cardiology
    • Gastroenterology
    • Surgical Oncology

    Background:

    • Cardiac arrhythmias (CA) are potential complications following surgical procedures.
    • Cholecystectomy is a common surgical intervention for chronic calculous cholecystitis (CCC).

    Purpose of the Study:

    • To analyze the incidence and predictors of cardiac arrhythmias (CA) in patients undergoing cholecystectomy for chronic calculous cholecystitis (CCC).

    Main Methods:

    • Systematic literature review and analysis of CA in 101 patients with CCC.
    • Data collected preoperatively, intraoperatively, and postoperatively.
    • Comparison of arrhythmias between laparoscopic and laparotomy approaches.

    Main Results:

    • Cholecystectomy, especially the laparotomy approach, demonstrated an arrhythmogenic effect.
    • Predictors of dangerous CA included sinus tachycardia, bradycardia, ciliary arrhythmia, altered heart rate variability, and preoperative cardiomegaly.
    • Endovideosurgical techniques showed a potentially lower arrhythmogenic risk compared to laparotomy.

    Conclusions:

    • Elective cholecystectomy carries a risk of cardiac arrhythmias.
    • Identifying patients with specific cardiac conditions and rhythm disturbances preoperatively is crucial for risk stratification.
    • Minimally invasive techniques may reduce the incidence of CA during cholecystectomy.

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