ARRHYTHMIAS AFTER SURGERY WITH BEATING HEART PROCEDURE
S. Keranović, S. Jahić, M. Selimović, S. Mujanović and A.
Clinic, University Clinical Center Tuzla, Bosnia and Herzegovina
Disorders of cardiac rhythm, which most commonly
occur in our patients operated using beating heart procedure,
are supraventricular tachycardia, artrial fibrillation, atrial
flutter and ventricular extra beats. The most frequent causes
of arrhythmias were myocardial ischemia, electrolyte imbalance,
hypothermia and impairment of acid -base status. We commonly employ
aggressive treatment for all arrhythmias with standard medication
and electroconversion, particularly if early hemodynamic sequels
occur. Our experience shows less arrhythmias associated with beating
heart procedure compared to surgery with cardiopulmonary bypass
so we perform this procedure whenever possible.