Key result
Thoracic and lumbar epidural anesthesia do not significantly affect electrocardiographic markers of atrial fibrillation risk, such as P wave dispersion and maximum duration, in healthy male patients.
Why the study?
Does thoracic epidural anesthesia compared to lumbar epidural anesthesia affect P wave dispersion and maximum duration in male patients without heart disease undergoing elective surgery?
Population
50 male patients aged 18-65 years, ASA physical status I or II, without a history of previous heart…
Comparison
Thoracic epidural anesthesia using 0.5%… vs Lumbar epidural anesthesia using 0.5% bupivacaine.
Design
Cohort
Follow-up
Until sensory blockade reached T1 or T8 dermatome
Authors
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Epidural anesthesia appears safe for AF ECG markers in healthy males; leaves open effects in cardiac patients.
Cohort (n=50)
No
Does thoracic epidural anesthesia compared to lumbar epidural anesthesia affect P wave dispersion and maximum duration in male patients without heart disease undergoing elective surgery?
p-value: p=>0.05
Epidural anesthesia, regardless of thoracic or lumbar location, does not significantly alter ECG markers of atrial fibrillation risk in patients without underlying heart disease.
Twardowski et al. (2014) conducted a cohort in Elective surgical procedures (n=50). Thoracic epidural anesthesia vs. Lumbar epidural anesthesia was evaluated on Electrocardiographic parameters including P wave dispersion and maximum duration (p=>0.05). Thoracic and lumbar epidural anesthesia do not significantly affect electrocardiographic markers of atrial fibrillation risk, such as P wave dispersion and maximum duration, in healthy male patients.
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