Non-cardiac surgery after thoracotomy supraventricular tachycardia Research Status.doc

 PAGE \* MERGEFORMAT 4 Non-cardiac surgery after thoracotomy supraventricular tachycardia Research Status Since the discovery of non-cardiac thoracic surgery complicated by supraventricular tachycardia (SVT) has been a history of more than 50 years, but until now the exact etiology and pathogenesis remain unclear, its treatment also exist different views. An epidemiological study of related research in recent years, lung resection the incidence of arrhythmia was 12.3% ~ 34%. In these disorders in heart rate, SVT’s highest incidence of 10% ~ 28%, of which atrial fibrillation (AF) is the most frequent incidence at 17.2% ~ 88.3%. The incidence of different health conditions with patients, heart rate disorders, the definition of the type of surgery, method of recording abnormal heart rate and other factors. Esophageal surgery in patients with the incidence of AF is higher than lung surgery, chest surgery, SVT incidence to be higher than in other parts of the. Mainly in the postoperative occurrence of SVT, within 48h, while others that occurred mainly in the 2 ~ 3 days after operation, continuing 1-6 days, with an average 2.6 days (Table 1). 2 SVT mechanism of fast-rhythm disorders can be divided into abnormal impulse conduction and impulse formation abnormalities. 2.1 impulse conduction abnormalities (return) is usually paroxysmal fast rhythm disorders, most commonly the mechanism. Place the basic conditions for return include: (1) two or more regional presence in the heart electrophysiological heterogeneity (different conduction or refractory period), and these regions interconnected to form a closed loop potential; (2) in which the a pathway block occurs on a one-way; (3) an alternative route is slow conduction, so that the previous block of the channel have sufficient time to recover excitability; (4) the original block of the channel once again excited, so excited about the completion of a ring . Pulse through this cycle that is repeated Yihuan a continuing r