LEROY D. VANDAM; GEORGE A. MCLEMORE JR.
Patients with heart disease generally fare well when operated on under present day anesthesia technics.1, 2 The postoperative morbidity is higher in cardiacs,3 but circulatory arrest during operation need not be anticipated. However, a recently suggested therapeutic measure, that of cholecystectomy for patients with heart block, Adams-Stokes attacks and symptomatic gallbladder disease,4 has brought to operation a group of individuals in whom circulatory arrest is likely to occur. We have witnessed repeated episodes of circulatory arrest during operation in several patients with this combination of ailments. This has prompted us to review our prior experience with cases of this
VANDAM LD, MCLEMORE GA. CIRCULATORY ARREST IN PATIENTS WITH COMPLETE HEART BLOCK DURING ANESTHESIA AND SURGERY1. Ann Intern Med. ;47:518–532. doi: 10.7326/0003-4819-47-3-518
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Published: Ann Intern Med. 1957;47(3):518-532.
Cardiology, Rhythm Disorders and Devices.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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