Severe Hypotension due to the Use of Bretylium for Postcardiotomy Ventricular Arrhythmias

Irving L. Kron; Stanton P. Nolan

doi:10.1016/S0003-4975(10)61556-1

Severe Hypotension due to the Use of Bretylium for Postcardiotomy Ventricular Arrhythmias

Irving L. Kron, Stanton P. Nolan

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Abstract

We describe three patients who developed refractory hypotension after the administration of bretylium tosylate for postoperative ventricular ectopy. In one patient, the administration of vasopressors and fluid restored the blood pressure, but in the other two patients these measures failed, necessitating open-heart cardiac massage. The hemodynamic effects of bretylium are unpredictable; therefore, this drug should be used cautiously in the treatment of postcardiotomy ventricular arrhythmias.

Original language	English (US)
Pages (from-to)	271-273
Number of pages	3
Journal	Annals of Thoracic Surgery
Volume	35
Issue number	3
DOIs	https://doi.org/10.1016/S0003-4975(10)61556-1
State	Published - 1983

ASJC Scopus subject areas

Surgery
Pulmonary and Respiratory Medicine
Cardiology and Cardiovascular Medicine

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abstract = "We describe three patients who developed refractory hypotension after the administration of bretylium tosylate for postoperative ventricular ectopy. In one patient, the administration of vasopressors and fluid restored the blood pressure, but in the other two patients these measures failed, necessitating open-heart cardiac massage. The hemodynamic effects of bretylium are unpredictable; therefore, this drug should be used cautiously in the treatment of postcardiotomy ventricular arrhythmias.",

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AB - We describe three patients who developed refractory hypotension after the administration of bretylium tosylate for postoperative ventricular ectopy. In one patient, the administration of vasopressors and fluid restored the blood pressure, but in the other two patients these measures failed, necessitating open-heart cardiac massage. The hemodynamic effects of bretylium are unpredictable; therefore, this drug should be used cautiously in the treatment of postcardiotomy ventricular arrhythmias.

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Severe Hypotension due to the Use of Bretylium for Postcardiotomy Ventricular Arrhythmias

Abstract

ASJC Scopus subject areas

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