PMID: 32535555Jun 15, 2020Paper

PECULIARITIES OF CARBOPNEUMPEROPERITONEUM AT LAPAROSCOPIC OPERATION UNDER CONDITIONS OF RHYTHM DISORDERS AND CONDUCTIVITY OF CARDIAC ACTIVITY

Georgian Medical News
O VorovskiyA Bazyak

Abstract

The aim of the research - to study the effect of carbopneumoperitoneum on the possibility of laparoscopic surgery in patients with cardiac rhythm disorders and conduction disturbances. We conducted analysis of 940 patients who underwent laparoscopic surgery. The patients were divided into two groups. The first group included 630 patients (67,0%) with cardiac arrhythmias; the second group included 310 (33,0%) patients with heart rhythm disturbance that arose during carbopneumoperitoneum. In all patients of the first group in the preoperative period, heart rhythm disturbance was observed: sinus tachycardia - 30 (4,8%); sinus bradycardia - 50 (7,9%); paroxysmal tachycardia with a narrow QRS complex - 5 (0,8%); complete blockage of the right leg of the bunch Gis - 12 (1,9%); complete blockage of the left leg of the bunch Gis - 21 (3,3%), AV- blockade of the I degree - 23 (3,7%), the AV- blockade of the II degree Mobitz I - 12 (1,9%), AV- II degree blockade Mobits II - 8 (1,3%), complete AV- blockade - 5 (0,8%), supraventricular extrasystole - 216 (34,3%), persistent atrial fibrillation - 103 (16,3%), paroxysms of atrial fibrillation - 41 (6,5%), a constant form of atrial flutter - 12 (1,9%), paroxysms of atrial flutter - 4 (0,6%), ...Continue Reading

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