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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
5
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pubmed:dateCreated |
1984-5-15
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pubmed:abstractText |
We evaluated risk of heart block after cardiopulmonary by-pass (CPB) in patients with normal conduction undergoing coronary artery bypass grafting who chronically received calcium-entry blockers, beta-blockers, or combined therapy. Before CPB, calcium-entry blockers alone produced an increase in P-R intervals but no change in heart rate; calcium-entry blocker effects were undetectable after CPB, beta-Blockers alone or with calcium-entry blockers produced lower heart rates and longer P-R intervals throughout the entire perioperative period when compared to no therapy (control) or calcium-entry blockers alone. Complete heart block did not occur; one control patient had transient second degree block after CPB. First degree block appeared transiently in 5% of the patients after anesthetic induction and in 15% on emergence from CPB, but was unrelated to drug therapy. We conclude that chronic calcium-entry blocker therapy has minimal effects on conduction perioperatively; beta-blocker effects persist for up to 10 hr after CPB; and the risk of heart block with either drug or combination is low and should not be a factor in their continued administration preoperatively.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
May
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pubmed:issn |
0003-2999
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
63
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
515-20
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pubmed:dateRevised |
2004-11-17
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pubmed:meshHeading |
pubmed-meshheading:6143520-Adrenergic beta-Antagonists,
pubmed-meshheading:6143520-Calcium Channel Blockers,
pubmed-meshheading:6143520-Cardiopulmonary Bypass,
pubmed-meshheading:6143520-Drug Combinations,
pubmed-meshheading:6143520-Electrocardiography,
pubmed-meshheading:6143520-Electrophysiology,
pubmed-meshheading:6143520-Heart Block,
pubmed-meshheading:6143520-Heart Rate,
pubmed-meshheading:6143520-Humans,
pubmed-meshheading:6143520-Intraoperative Period,
pubmed-meshheading:6143520-Middle Aged,
pubmed-meshheading:6143520-Postoperative Complications,
pubmed-meshheading:6143520-Premedication,
pubmed-meshheading:6143520-Prospective Studies
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pubmed:year |
1984
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pubmed:articleTitle |
Heart block after coronary artery bypass--effect of chronic administration of calcium-entry blockers and beta-blockers.
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pubmed:publicationType |
Journal Article
|