Conversion of atrial fibrillation to sinus rhythm during landiolol infusion

A 71-year-old woman with a history of persistent atrial fibrillation underwent clipping of a ruptured cerebral artery aneurysm. During the surgery her cardiac rhythm was atrial fibrillation and the ventricular rate increased to 130 beats.min(-1). Administration of landiolol was started with 1-min lo...

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Veröffentlicht in:Journal of anesthesia 2004-11, Vol.18 (4), p.304-306
Hauptverfasser: Mayahara, Taku, Goto, Maria, Sato, Mikako, Kanazawa, Takeshi, Isomine, Shinji, Nakajima, Hiroshi, Sakaida, Koji
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container_end_page 306
container_issue 4
container_start_page 304
container_title Journal of anesthesia
container_volume 18
creator Mayahara, Taku
Goto, Maria
Sato, Mikako
Kanazawa, Takeshi
Isomine, Shinji
Nakajima, Hiroshi
Sakaida, Koji
description A 71-year-old woman with a history of persistent atrial fibrillation underwent clipping of a ruptured cerebral artery aneurysm. During the surgery her cardiac rhythm was atrial fibrillation and the ventricular rate increased to 130 beats.min(-1). Administration of landiolol was started with 1-min loading infusion at 0.125 mg.kg(-1).min(-1) and continuous infusion at 0.04 mg.kg(-1).min(-1), which was effective in controlling the ventricular rate without causing hypotension. Approximately 120 min after the landiolol infusion was started, the atrial fibrillation was converted to sinus rhythm. Her sinus rhythm was maintained until she left the operating room, even after discontinuation of landiolol.
doi_str_mv 10.1007/s00540-004-0258-0
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subjects Aged
Anti-Arrhythmia Agents - administration & dosage
Atrial Fibrillation - drug therapy
Female
Humans
Infusions, Intravenous
Intracranial Aneurysm - surgery
Intraoperative Care
Morpholines - administration & dosage
Urea - administration & dosage
Urea - analogs & derivatives
title Conversion of atrial fibrillation to sinus rhythm during landiolol infusion
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