Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2006
Postoperative arrhythmias in colorectal surgical patients: incidence and clinical correlates.
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Walsh S R, Oates J E, Anderson J A, Blair S D, Makin C A, Walsh C J
Аннотация
OBJECTIVE: To determine the incidence and clinical correlates of postoperative cardiac arrhythmias in patients undergoing elective large bowel resection.
METHODS: Fifty-one consecutive patients undergoing elective open colorectal resection were recruited for this prospective observational study. Participating patients underwent daily three-lead electrocardiograms postoperatively. Data regarding potential risk factors for arrhythmias were recorded. Post-operative complications were recorded.
RESULTS: Thirteen (26%) patients developed a postoperative arrhythmia, most commonly atrial fibrillation. Significant univariate correlates with postoperative arrhythmias were: age (P<0.01), hypertension (P<0.01), pre-operative serum potassium levels (P<0.01), postoperative pulmonary oedema (P=0.03), postoperative serum potassium (P=0.03) and sodium (P<0.01). Arrhythmia patients were more likely to have other complications (P=0.02). Thirty-one percent of arrhythmia patients had underlying sepsis compared with 18% of controls (P=0.38).
CONCLUSION: Arrhythmias are common following elective large bowel resection. They occur in older patients and are associated with the development of other complications.
METHODS: Fifty-one consecutive patients undergoing elective open colorectal resection were recruited for this prospective observational study. Participating patients underwent daily three-lead electrocardiograms postoperatively. Data regarding potential risk factors for arrhythmias were recorded. Post-operative complications were recorded.
RESULTS: Thirteen (26%) patients developed a postoperative arrhythmia, most commonly atrial fibrillation. Significant univariate correlates with postoperative arrhythmias were: age (P<0.01), hypertension (P<0.01), pre-operative serum potassium levels (P<0.01), postoperative pulmonary oedema (P=0.03), postoperative serum potassium (P=0.03) and sodium (P<0.01). Arrhythmia patients were more likely to have other complications (P=0.02). Thirty-one percent of arrhythmia patients had underlying sepsis compared with 18% of controls (P=0.38).
CONCLUSION: Arrhythmias are common following elective large bowel resection. They occur in older patients and are associated with the development of other complications.