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Ann Thorac Surg 1983;35:271-273
© 1983 The Society of Thoracic Surgeons

Articles

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

Irving L. Kron, M.D., Stanton P. Nolan, M.D.1

From the Department of Surgery, University of Virginia Medical Center, Charlottesville, VA

Accepted for publication March 15, 1982.

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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Ann. Thorac. Surg., October 1, 1984; 38(4): 312 - 313.
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Unanticipated Postoperative Ventricular Tachyarrhythmias
Ann. Thorac. Surg., October 1, 1984; 38(4): 317 - 322.
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