Wynik wyszukiwania w bazie Polska Bibliografia Lekarska GBL

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Tytuł oryginału: Risk of thromboembolic complications in patients with permanent atrial fibrillation undergoing cardioverter-defibrillator implantation.
Tytuł polski: Ryzyko powikłań zatorowych w trakcie wszczepiania kardiowertera defibrylatora u chorych z utrwalonym migotaniem przedsionków.
Autorzy: Przybylski Andrzej, Sterliński Maciej, Lewandowski Michał, Srzednicki Marek, Wolski Piotr, Maciąg Aleksander, Pytkowski Mariusz, Kowalik Ilona, Szwed Hanna
Źródło: Kardiol. Pol. 2002: 57 (10) s.306-312, il., tab., bibliogr. 11 poz. - Tekst równol. w jęz. pol.
Sygnatura GBL: 313,397

Hasła klasyfikacyjne GBL:
  • kardiologia

    Typ dokumentu:
  • praca kliniczna

    Wskaźnik treści:
  • ludzie
  • dorośli 19-44 r.ż.
  • dorośli 45-64 r.ż.
  • dorośli = 65 r.ż.

    Streszczenie angielskie: Background. Cardioversion of atrial fibrillation (AF) carriers the risk of thromboembolic complications and therefore, anticoagulation therapy is routinely administered before and after this procedure. In patients with permanent AF who undergo implantation of cardioverter-defibrillatot (ICD), antocoagulants are usually withdrawn during the perioperative period. However, in some patients sinus rhythm may be restored during defibrillation thereshold (DTF) testing which patentially may increase the risk of thrombpembolic complications. Aim. To assess the frequaency of sinus rhythm restoration during ICD implantation in patients with permanent AF and the rate of both thromboembolic evants and local bleeding complications which may occur due to temporary withdrawal of anticoagulation therapy and its re-initiation early after the procedure. Methods. Permanent AF was present in 23 (12 p.c.) of 193 patients selected for ICD implantation. All patients received prolonged oral anticoagulation according to the generally accepted standards. Anticoagulation therapy was stopped few days before the procedure and replaced by low molecular weight heparin which as administered up to 24 hours before ICD implantation and re-initiated 12-24 hours afterwards. Results. During DDFT testing sinus rhyth, was restored in 5 (21.7 p.c.) patients with AF. Clinical and DFT characteristics were similar in those who were converted to sinus rhythm and those who remained in AF. No thromboembolic events were noted in either group. Local haematoma at site of ICD implantation occurred in two (8 p.c.) patients...

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