CIRCULATORY ARREST IN PATIENTS WITH COMPLETE HEART BLOCK DURING ANESTHESIA AND SURGERY
Authors: L D VANDAM, G A McLEMORE
Journal: Annals of Internal Medicine (1957)

Article1 September 1957CIRCULATORY ARREST IN PATIENTS WITH COMPLETE HEART BLOCK DURING ANESTHESIA AND SURGERYLEROY D. VANDAM, GEORGE A. MCLEMORE JR.LEROY D. VANDAM, GEORGE A. MCLEMORE JR.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-47-3-518 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptINTRODUCTIONPatients with heart disease generally fare well when operated on under present day anesthesia technics.1, 2The postoperative morbidity is higher in cardiacs,3but 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,4has 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...Bibliography1. EtstenProger BS: Operative risk in patients with coronary artery disease, J. A. M. A. 159: 845, 1955. CrossrefMedlineGoogle Scholar2. McQuiston WO: Anesthesia in cardiac surgery, Arch. Surg. 61: 892, 1950. CrossrefGoogle Scholar3. LockheadCoakleyEvans RPCSJM: The risk of major surgery in patients with coronary artery disease, Am. J. M. Sc. 227: 624, 1954. CrossrefMedlineGoogle Scholar4. McLemoreLevine GASA: The possible therapeutic value of cholecystectomy in Adams-Stokes disease, Am. J. M. Sc. 229: 386, 1955. CrossrefMedlineGoogle Scholar5. ZollLinenthalNormanPaulGibson PMAJLRMHW: Treatment of unexpected cardiac arrest by external electrical stimulation of the heart, New England J. Med. 254: 541, 1956. CrossrefMedlineGoogle Scholar6. BelletWassermanBrody SFJ: Molar sodium lactate: its effect in complete atrioventricular heart block and cardiac arrest occurring during Stokes-Adams seizures and in the terminal state, New England J. Med. 253: 891, 1955. CrossrefMedlineGoogle Scholar7. PentonMullerLevine GBHSA: Some clinical features of complete heart block, Circulation 13: 801, 1956. CrossrefMedlineGoogle Scholar8. KingHarrisGreifensteinElderDripps BDLCFEJDRD: Reflex circulatory responses to direct laryngoscopy and tracheal intubation performed during general anesthesia, Anesthesiology 12: 556, 1951. CrossrefMedlineGoogle Scholar9. MillerNathansonGriffith HMGC: The action of procaine amide in complete heart block, Am. Heart J. 44: 432, 1952. CrossrefMedlineGoogle Scholar10. ZollLinenthalNorman PMAJLR: Treatment of Stokes-Adams disease by external electrical stimulation of the heart, Circulation 9: 482, 1954. CrossrefMedlineGoogle Scholar11. MeekHathawayOrth WJHROS: Effects of ether, chloroform and cyclopropane on cardiac automaticity, J. Pharmacol. and Exper. Therap. 61: 240, 1937. Google Scholar12. DrewDrippsComroe JHRDJH: The effect of morphine upon the circulation of man and upon the circulatory and respiratory response to tilting, Anesthesiology 7: 44, 1946. CrossrefMedlineGoogle Scholar13. KingElderDripps BDJDRD: Effect of the intravenous administration of meperidine upon the circulation of man and upon the circulatory response to tilt, Surg., Gynec. and Obst. 94: 591, 1952. MedlineGoogle Scholar14. LewisDruryWeddIlliescu TANAMCC: Observations upon the actions of certain drugs upon fibrillation of the auricles, Heart 9: 207, 1922. Google Scholar15. KalserFryeGordon MHCWAS: Postural hypotension induced by atropine sulfate, Circulation 10: 423, 1954. CrossrefMedlineGoogle Scholar16. DrippsVandam RDLD: The anesthetic management of patients with heart disease, Circulation 5: 927, 1952. CrossrefMedlineGoogle Scholar17. PriceHelrich HLM: The effect of cyclopropane, diethyl ether, nitrous oxide, thiopental and hydrogen ion concentration on the myocardial function of the dog heart lung preparation, J. Pharmacol. and Exper. Therap. 115: 206, 1955. MedlineGoogle Scholar18. BrewsterIsaacsWaino-Anderson WRJPT: Depressant effects of ether on myocardium of dogs and its modification by reflex release of epinephrine and norepinephrine, Am. J. Physiol. 175: 399, 1953. CrossrefMedlineGoogle Scholar19. StephensonReidHinton HELCJW: Some common denominators in 1200 cases of cardiac arrest, Ann. Surg. 137: 731, 1953. CrossrefMedlineGoogle Scholar20. Owen SE: Study of viscerocardiac reflexes: experimental production of cardiac irregularities by visceral stimulation, Am. Heart J. 8: 496, 1933. CrossrefGoogle Scholar21. RoccoVandam ARLD: Circulatory responses to intra-abdominal manipulation during surgery, J. A. M. A. (June) 1957. CrossrefMedlineGoogle Scholar22. MendelsohnMonheit DR: Electrocardiographic and blood pressure changes during and after biliary-tract surgery, New England J. Med. 254: 307, 1956. CrossrefMedlineGoogle Scholar23. RobbinGoldfeinSchwartzDack SRSMJS: Adams-Stokes syndrome: the treatment of ventricular asystole, ventricular tachycardia, and ventricular fibrillation associated with complete heart block, Am. J. Med. 18: 577, 1955. CrossrefMedlineGoogle Scholar24. NathansonMiller MH: The action of nor-epinephrine, epinephrine, and isopropylnorepinephrine on the rhythmic function of the heart, Circulation 6: 238, 1952. CrossrefMedlineGoogle Scholar25. BellvilleArtusioGlenn JWJFF: The electroencephalogram in cardiac arrest, J. A. M. A. 157: 508, 1955. MedlineGoogle Scholar26. VandamBurnap LDTK: Problems in anesthesia for operations on the heart, New England J. Med. 255: 110, 1956. CrossrefMedlineGoogle Scholar27. HouleWeilBrownCampbell DBMHEBSC: Depressed response to intravenous sympathomimetic agents in humans during acidosis, Surgical Forum 1956. Google Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Boston, Massachusetts*Received for publication December 15, 1956.From the Division of Anesthesia, Department of Surgery and the Medical Clinic, Department of Medicine, Peter Bent Brigham Hospital and Harvard Medical School, Boston, Massachusetts.Requests for reprints should be addressed to Leroy D. Vandam, M.D., Peter Bent Brigham Hospital, Boston 15, Massachusetts. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byAnesthetic management of the neonate with congenital complete heart block: a 16-year reviewA Patient with Congenital Complete Heart Block Undergoing Multiple Exposures to General AnaesthesiaMedical Consultation on Surgical Services: An Annotated BibliographyRICHARD GROSS, M.D., Sc.M. (Hyg.), WILLIAM KAMMERER, M.D.Electric control of the heartElectric control of the heartCardiac PacemakingManagement of Cardiac ArrhythmiaSpezielle Chirurgie der Erkrankungen und Verletzungen des ThoraxAnaesthesia in stokes-adams diseaseCorticosteroids in Stokes-Adams syndromeUSE OF CORTICOSTEROIDS IN STOKES-ADAMS SYNDROME*EDWARD L. PERRY, M.D., JAMES L. JAECK, M.D.Anesthesia in Patients with Heart Disease 1 September 1957Volume 47, Issue 3Page: 518-532KeywordsAnesthesiaCardiac arrestHeartHospital medicinePacemakersReflexesTachycardiaThoracic surgeryThoraxThyroid ePublished: 1 December 2008 Issue Published: 1 September 1957 PDF downloadLoading ...