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Ann Thorac Surg 1990;50:86-88
© 1990 The Society of Thoracic Surgeons


Articles

Prophylactic digitalization for thoracotomy: A reassessment

A.J. Ritchie, FRCS(I)*, P. Bowe, FRCS(I), J.R.P. Gibbons, FRCS(I)

Department of Cardiothoracic Surgery, Royal Victoria Hospital, Belfast, Northern Ireland

Accepted for publication February 1, 1990.

* Address reprint requests to Mr Ritchie, Wards 13/14, Royal Victoria Hospital, Belfast BT12 6BA, Northern Ireland.

A prospective, controlled, randomized clinical study of 140 patients undergoing elective thoracic operations over a period of 1 year in a regional referral unit was performed in which one group received digoxin and the other did not. The incidence of cardiac arrhythmia was compared in each group. Overall mortality was 5.7%. There was no significant difference in incidence of cardiac arrhythmia in each group, and we conclude that the prophylactic use of digoxin in elective thoracic operations should be revised.




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