Aortic Surgery Complications Evaluated by an Implanted Continuous Electrocardiography Device: A Case Report

Tamara Winkel, Ellen Rouwet, Jan-peter Kuijk, Michiel Voûte, Marleen Melis, Hence Verhagen, D Poldermans

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Abstract

Introduction: Cardiac arrhythmias are a major cause for morbidity and mortality in patients undergoing non-cardiac vascular surgery. Report: An implantable loop recorder (Reveal (R) XT) was used for continuous heart rhythm monitoring to detect perioperative arrhythmias in a 69-year-old man undergoing major vascular surgery for an infected aortobifemoral prosthesis. The Reveal (R) detected several episodes of asymptomatic new-onset atrial fibrillation postoperatively, associated with elevated serum levels of troponin-T and N-terminal pro-B-type natriuretic peptide NT-proBNP). Discussion: Continuous heart rhythm monitoring with assessment of serum cardiac biomarkers may allow early identification and treatment of patients at high risk of perioperative cardiovascular complications, in particular, cardiac arrhythmias. (C) 2010 European Society for Vascular Surgery. Published by Elsevier Ltd. All rights reserved.
Original languageUndefined/Unknown
Pages (from-to)334-336
Number of pages3
JournalEuropean Journal of Vascular and Endovascular Surgery
Volume41
Issue number3
DOIs
Publication statusPublished - 2011

Research programs

  • EMC COEUR-09

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