Treatment of Atrial Fibrillation After Surgical Repair of the Mitral Valve
Authors: ARTHUR SELZER
Journal: Annals of Internal Medicine (1965)

Article1 June 1965Treatment of Atrial Fibrillation After Surgical Repair of the Mitral ValveARTHUR SELZER, M.D., F.A.C.P., JOHN J. KELLY JR., M.D., F.A.C.P., FRANK GERBODE, M.D., WILLIAM J. KERTH, M.D., JAMES E. BLACKLEY, M.D., JOHN J. MORGAN, M.B., M.R.A.C.P., K. KEYANI, M.D.ARTHUR SELZER, M.D., F.A.C.P., JOHN J. KELLY JR., M.D., F.A.C.P., FRANK GERBODE, M.D., WILLIAM J. KERTH, M.D., JAMES E. BLACKLEY, M.D., JOHN J. MORGAN, M.B., M.R.A.C.P., K. KEYANI, M.D.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-62-6-1213 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptAtrial fibrillation, a common sequel to mitral valvular disease, profoundly affects the course of the disease. It adversely affects the performance of the heart; significant symptoms may first be produced by the onset of atrial fibrillation. Furthermore, it introduces the appreciable risk of systemic embolization. Consequently, the opportunity for the restoration of sinus rhythm after successful mitral valve surgery is considered one of the desirable goals of surgical treatment of the mitral valve. The purpose of this study is the determination of the effectiveness of treatment of atrial fibrillation after mitral valve surgery. A comparison between quinidine therapy and the...References1. GERBODE F: Transventricular mitral valvotomy. Circulation 21: 563, 1960. CrossrefMedlineGoogle Scholar2. SELZERWRAY AHW: Quinidine syncope: paroxysmal ventricular fibrillation occurring during treatment of chronic atrial arrhythmias. Circulation 30: 17, 1964. CrossrefMedlineGoogle Scholar3. LOWNKLEIGERWOLFF BRG: Technique of cardioversion. Amer. Heart J. 67: 282, 1964. CrossrefMedlineGoogle Scholar4. ROGERSWROBLEWSKILA DUE WRFJD: Supraventricular tachycardia complicating surgical procedures. Circulation 7: 192, 1953. CrossrefMedlineGoogle Scholar5. 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WOOD P: An appreciation of mitral stenosis. Brit. Med. J. 1: 1051, 1113, 1954. CrossrefMedlineGoogle Scholar12. FRASERTURNER HRRW: Auricular fibrillation, with special reference to rheumatic heart disease. Brit. Med. J. 2: 1414, 1955. CrossrefMedlineGoogle Scholar13. HEINTZHULTGREN RHN: Atrial fibrillation following mitral valvulotomy. Arch. Intern. Med. (Chicago) 99: 896, 1957. CrossrefGoogle Scholar14. KITTLECROCKETT CFJE: The etiology and prevention of auricular fibrillation after mitral valvotomy. J. Thorac. Cardiov. Surg. 38: 353, 1959. CrossrefMedlineGoogle Scholar15. BAKERHANCOCK CWE: Deterioration after mitral valvotomy. Brit. Heart J. 22: 281, 1960. CrossrefMedlineGoogle Scholar16. LOWTHERTURNER CPRW: Deterioration after mitral valvotomy. Brit. Med. J. 1: 1027, 1102, 1962. CrossrefMedlineGoogle Scholar17. ABER CO: Quinidine therapy after mitral valvotomy. Thorax 17: 274, 1962. CrossrefMedlineGoogle Scholar18. BLOOM VR: Prognosis of atrial fibrillation following mitral valvotomy. Brit. Heart J. 25: 595, 1963. CrossrefMedlineGoogle Scholar19. KERTHSELZERKEYANIGERBODE WJAKF: The electrical conversion of cardiac arrhythmias. J. Cardiov. Surg. 5: 212, 1964. MedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: San Francisco, CaliforniaFrom the Cardiopulmonary and Cardiac-Surgical Units, Presbyterian Medical Center, and the Institute of Medical Sciences, San Francisco, Calif.This study was supported by grants HTS-5498, H-6111, and H-7101 from the National Institutes of Health, U. S. Public Health Service, Bethesda, Md.Portions of this study were presented before the 35th Scientific Sessions of the American Heart Association, Cleveland, Ohio, on October 27, 1962, and the 45th Annual Session of the American College of Physicians, Atlantic City, N. J., on April 9, 1964.Requests for reprints should be addressed to Arthur Selzer, M.D., Presbyterian Medical Center, Clay and Webster Sts., San Francisco, Calif. 94115. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byPredictors and significance of atrial rhythm before and six months after percutaneous balloon mitral commissurotomyCox maze procedure for chronic atrial fibrillation associated with mitral valve diseaseLeft atrial isolation associated with mitral valve operationsIntravenous amiodarone bolus versus oral quinidine for atrial flutter and fibrillation after cardiac operationsLong-term results of direct-current cardioversion after open commissurotomy for mitral stenosisRestoration and maintenance of sinus rhythm after mitral valve surgery for mitral stenosisEchocardiographic analysis of left atrial size before and after operation in mitral valve diseaseDC-Conversion of Atrial Fibrillation after Mitral Valve Operation. An Analysis of the Long-term ResultsCardioversion after valve replacementRestoration and maintenance of normal sinus rhythm following mitral valve replacementPrognosis of atrial arrhythmias treated by electrical counter shock therapy. A three-year follow-up.Effect on cardiac output of conversion from atrial fibrillation to normal sinus mechanismControl of the hazards of cardiac valve replacementImmediate and long-term results of electrical conversion of arrhythmiasAdequacy of Preoperative Digitalis Therapy in Controlling Ventricular Rate in Postoperative Atrial Fibrillation 1 June 1965Volume 62, Issue 6Page: 1213-1222KeywordsAtrial fibrillationHeartLongitudinal studiesMedical servicesPrevention, policy, and public healthStenosisSurgerySurgical repairValvular diseases Issue Published: 1 June 1965 PDF downloadLoading ...