Post-operative arrhythmias, primarily atrial fibrillation, occur in 28% of patients following pneumonectomy for lung cancer and typically respond to digitalis.
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Post-pneumonectomy patients warrant early AF monitoring; Level 5 data leaves prevention and management strategies open.
A series of 260 patients who underwent pneumonectomy for cancer of the lung was analysed for post-operative arrhythmias. Of these patients 28% developed such arrhythmias, usually in the form of atrial fibrillation, on the first to third post-operative day, rapidly yielding to fast-acting digitalis preparations. Possible aetiological factors were investigated, but no single cause was demonstrable. The indication for pre-operative digitalization, if any, is discussed.
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J. Stougård (1969) studied this question.
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