Skip to main content

Advertisement

SpringerLink
Log in

Prophylaktische Wirkung der Beta-Rezeptoren-Blockade auf postoperative Arrhythmien

  • Originalarbeiten
  • Published:
Acta Chirurgica Austriaca Aims and scope Submit manuscript

Zusammenfassung

Die Dauerüberwachung von 25 Koronarkranken nach peripheren Gefäßoperationen mittels Trendaufzeichnung und Alarmschreibung in einer randomisierten Vergleichs-studie ergab eine signifikante Senkung der Herzfrequenz, der Häufigkeit supraventrikulärer Tachyarrhythmien, ventrikulärer Extrasystolen und Salven, des R-auf-T-Phänomens, des Herzversagens und des Myokardinfarkts während der postoperativen Stress-Periode bei Patienten mit prophylaktischer Beta-Rezeptoren-Blockade (Oxprenolol) gegenüber unbehandelten Fällen.

Summary

25 male patients suffering from coronary artery disease were monitored continuously by trendscription before and after peripheral vascular surgery. 12 received prophylactic treatment by 120 mg/d oxprenolol. In this group heart rate and incidence of supraventricular tachyarrhythmias, ventricular ectopic beats and salves, R on T phenomenon, myocardial infarction and heart failure were reduced significantly during the early postoperative period.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Literatur

  1. Angelini, P., M. I. Feldman, R. Lufschanowski undR. D. Leachman: Cardiac arrhythmias during and after heart surgery: Diagnosis and management. Progr. cardiovasc. Dis. 16 (1974): 496.

    Article  Google Scholar 

  2. Benchimol, A., J. G. Ellis, E. G. Diamond undT. Wu: Hemodynamic consequences of atrial and ventricular arrhythmias in man. Amer. Heart. J. 70 (1965): 775.

    Article  PubMed  CAS  Google Scholar 

  3. Ghosh, P., undB. C. Pakrashi: Cardiac dysrhythmias after thoracotomy. Brit. Heart. J. 34 (1972): 374.

    PubMed  CAS  Google Scholar 

  4. Johnstone, M.: Cardiac dysrhythmias during anaesthesia with special reference to practolol (Eraldin). Acta cardiol. (Brux.), Suppl. XV (1972): 293.

    Google Scholar 

  5. Katz, R. L., undJ. T. Bigger Jr.: Cardiac arrhythmias during anesthesia and operation. Anesthesiology 33 (1970): 193.

    Article  PubMed  CAS  Google Scholar 

  6. Katz, R. L., undR. A. Epstein: The interaction of anesthetic agent and adrenergic drugs to produce cardiac arrhythmias. Anesthesiology 29 (1968): 763.

    Article  PubMed  CAS  Google Scholar 

  7. Kliks, B. R., M. J. Burgess undJ. R. Abildskov: Influence of sympathetic tone on ventricular fibrillation threshold during experimental coronary occlusion. Amer. J. Cardiol. 36 (1975): 45.

    Article  PubMed  CAS  Google Scholar 

  8. Levitt, B., N. Cagin, J. Kleid, J. Somberg undR. Gillis: Role of the nervous system in the genesis of cardiac rhythm disorders. Editorial: Amer. J. Cardiol. 37 (1976): 1111.

    CAS  Google Scholar 

  9. Lown, B., undR. L. Verrier: Neural activity and ventricular fibrillation. New Engl. J. Med. 294 (1976): 1165.

    Article  PubMed  CAS  Google Scholar 

  10. Prys-Roberts, C., P. Foex, G. P. Biro undJ. G. Roberts: Studies of anesthesia in relation to hypertension V. Adrenergic betareceptor blokkade. Brit. J. Anaesth. 45 (1973): 671.

    Article  PubMed  CAS  Google Scholar 

  11. Prys-Roberts, C., J. G. Roberts, P. Foex, Th. N. S. Clarke, M. J. Bennett undW. A. Ryder:Interaction of anesthesia, beta-receptor blockade and bloodloss in dogs with induced myocardial infarction. Anesthesiology 45 (1976): 326.

    Article  PubMed  CAS  Google Scholar 

  12. Siegel, S.: Nonparametric statistics for the behavioral sciences. McGraw-Hill Book Company Inc., New York 1956.

    Google Scholar 

  13. Thorspecken, R., undP. Hassenstein: Rhythmusstörungen des Herzens. Ursache, Erkennung, Behandlung. Georg Thieme. Stuttgart 1975.

    Google Scholar 

  14. Toft, A. D., W. J. Irvine, I. Sinclair, D. McIntosh, J. Seth undE. H. D. Cameron: Propranolol in the surgical treatment of thyrotoxicosis. New Engl. J. Med. 298 (1978): 643.

    Article  PubMed  CAS  Google Scholar 

  15. Vormittag, E.: Die Beeinflussung postoperativer kardiovaskulärer Komplikationen durch Beta-Rezeptoren-Blockade. Wien. Klin. Wschr. 86 (1974): 474.

    PubMed  CAS  Google Scholar 

  16. Vormittag, E.: Risikofaktoren und Pathogenese der postoperativen kardialen Dekompensation. Münch. med. Wschr. 117 (1975): 1929.

    CAS  Google Scholar 

  17. Vormittag, E., undA. Keiler: Die Wirkung von Oxprenolol auf die Herzfunktion im hypovolämischen Schock des Hundes. Arzneimittelforschg. (im Druck).

  18. Vormittag, E., P. Kohn, F. Zekert undH. Grabner: Risikofaktoren des postoperativen Myokardinfarktes. Dtsch. med. Wschr. 100 (1975): 1365.

    Article  PubMed  CAS  Google Scholar 

  19. Wit, A. L., B. F. Hoffman undM. R. Rosen: Electrophysiology and pharmacology of cardiac arrhythmias IX. Cardiac electrophysiologic effects of beta adrenergic receptor stimulation and blockade. (3 Teilc.) Amer. Heart J. 90 (1975): 521, 665 und 795.

    Article  CAS  Google Scholar 

Download references

Author information

Author notes

  1. E. Vormittag

    Present address: I. Universitätsklinik für Unfallchirurgie, Alser Straße 4, A-1090, Wien

Authors and Affiliations

  1. I. Chirurgischen Universitätsklinik Wien, Wien, Österreich

    E. Vormittag

Authors
  1. E. Vormittag
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

About this article

Cite this article

Vormittag, E. Prophylaktische Wirkung der Beta-Rezeptoren-Blockade auf postoperative Arrhythmien. Acta Chir Austriaca 10, 146–151 (1978). https://doi.org/10.1007/BF02601264

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02601264

Search

Navigation