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Bioinformation Algorithm for Selecting a Method for Premedication of Patients with Arterial Hypertension with Amiodarone-Associated Thyrotoxicosis Type I during Neurosurgical Operations
Author(s) -
А. В. Сафроненко,
S. V. Lepyavka,
А. А. Демидова,
С. И. Демидов,
M. I. Nazheva,
A. V. Krishtopa
Publication year - 2020
Publication title -
journal biomed
Language(s) - English
Resource type - Journals
eISSN - 2713-0428
pISSN - 2074-5982
DOI - 10.33647/2074-5982-16-3-97-101
Subject(s) - premedication , amiodarone , medicine , adverse effect , cardiology , heart rate , anesthesia , blood pressure , atrial fibrillation
Signs associated with adverse cardiovascular reactions after surgery were established in 46 patients with arterial hypertension, cardiac arrhythmias and type I amiodarone-associated thyrotoxicosis. These signs included an increase in the circadian index above 1.52, the presence of pauses in the heart rate for more than 3 seconds, the number of group ventricular extrasystoles per day exceeding 30, an increase in LF/HF with RR-intervalometry more than 1.3. In order to reduce the risk of cardiac arrhythmias in the postoperative period, a premedication with long-acting benzodiazepines in combination with magnesium preparations over a prolonged course is recommended.

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