J.Jpn. Surg. Soc.. 60(7): 1160-1178, 1959
STUDIES OF THE ARRHYTHMIAS DURING SURGICAL OPERATIONS (BASED ON ELECTROCARDIOGRAPHIC STUDIES OF THE PREMATURE BEAT AND AURICULAR FIBRILLATION-FLUTTER)
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Department of Surgery, University of Chiba Medical School (Director: Prof. Komei NAKAYAMA) Kinichi NABEYA |
1) The auricular flutter is easily induced by electrical or aconitne stimulation and persists in anoxia or it can be induced by the blocking of the muscular bridge between the orifices of the superier and inferior vena cavas.
2) Procaine amide was effective in stopping the auricular fibrillation-flutter induced by mecholyl stimulation.
The electrocardiographic analysis of the 5188 cases done during the past five years has given the following results.
1) The statistical observation of the arrhythmias were:
Auricular premature beat 135 cases (2.6%)
Ventricular premature beat 105 cases (2.0%)
Established auricular fibrillation-flutter 15 cases (0.3%)
Paroxysmal auricular fibrillation-flutter 27 cases (0.5%)
Total 282 cases (5.4%)
2) The frequent multifocal auricular and ventricular premature beat with myocardial leasions should be considered as a sign of a bad prognosis.
3) When the established auricular fibrillation-flutter is discovered it is iipportant that we have checked and are prepared for it. Digitalis and procaine amide are effective on this arrhythmia and local injection of procaine in the operative area is necessary.
4) In cases of paroxysmal auricular fibrillation -flutter it is necessary to discover the surgical contributory factors and to remove them, then immediately digitalize with cedilanid, give procaine amide, and administer oxygen by inhalation. This has proven to be an effective treatment.
(author's abstract)
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