XXXX following pneumonectomy. Clinical correlates and prognostic significance.

@entity1 @entity1165 @entity3126 @entity2 @entity956 @entity86 @entity955 @entity299 @entity4710 @entity943
@entity299 occurred in 53 (22 percent) of 236 consecutive @entity1 undergoing pneumonectomy. All @entity1 had preoperative electrocardiograms which showed normal sinus rhythm. @entity1 did not receive digitalis before surgery. @entity955 was the most common @entity943 (64 percent; 34/53), followed by @entity4710 (23 percent; 12/53) and @entity956 (13 percent; 7/53). No episodes of @entity1165 were documented. Elevated concentrations of cardiac enzymes were associated with 12 (28 percent) of 43 tachydysrhythmias. Recurrent or persistent @entity943 were documented in 29 (55 percent) of 53 @entity1 despite medical management or electrocardioversion (or both). Thirty-one percent (9/29) of these @entity1 subsequently died during their hospitalization. There was no correlation between standard preoperative pulmonary function tests and the incidence of @entity86 . In addition, there was no correlation of @entity943 with postoperative diagnoses, surgical staging for @entity2 , postoperative arterial blood gas levels, or the fact that a completion pneumonectomy or chest wall resection was undertaken. An increased incidence of tachydysrhythmia was noted in @entity1 undergoing intrapericardial dissections and those who developed postoperative interstitial or perihilar @entity3126 . Twenty-five percent (13) of the @entity1 experiencing tachydysrhythmias died within 30 days following their pneumonectomy. We conclude that tachydysrhythmias after pneumonectomy are associated with significant mortality, have poor correlation to preoperative pulmonary function, and occur more frequently following intrapericardial dissection and in @entity1 who develop postoperative @entity3126 or perihilar @entity3126 .
