Rapid atrial fibrillation following tube thoracostomy insertion

We report a case of trauma patient, whose heart rhythm and rate changed from sinus tachycardia to rapid atrial fibrillation. The change occurred immediately after the insertion of left thoracostomy tube. The patient did not respond to pharmacological treatment. Only when the tube was pulled out, the...

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Veröffentlicht in:	European journal of cardio-thoracic surgery 2003-09, Vol.24 (3), p.461-462, Article 461
Hauptverfasser:	Barak, Michal, Iaroshevski, Dmitri, Ziser, Avishai
Format:	Artikel
Sprache:	eng
Schlagworte:	Adult Atrial Fibrillation - etiology Biological and medical sciences Cardiac dysrhythmias Cardiology. Vascular system Chest trauma Chest Tubes - adverse effects Chest X-ray Device Removal Heart Humans Male Medical sciences Multiple Trauma - surgery Rapid atrial fibrillation Thoracic Injuries - surgery Thoracostomy - adverse effects Tube thoracostomy
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Beschreibung
Zusammenfassung:	We report a case of trauma patient, whose heart rhythm and rate changed from sinus tachycardia to rapid atrial fibrillation. The change occurred immediately after the insertion of left thoracostomy tube. The patient did not respond to pharmacological treatment. Only when the tube was pulled out, the rhythm returned to sinus. Chest radiogram shows the position of the tube, in close proximity to the cardiac silhouette.
ISSN:	1010-7940 1873-734X
DOI:	10.1016/S1010-7940(03)00331-2