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Induced Therapeutic Hyperkalemia As a Method for Treatment of Refractory Arrhythmias After Aortic Declamping in Cardiac Surgical Procedures: A Narrative Review Publisher



Dabbagh A1 ; Foroughi M2 ; Imani A3
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Authors Affiliations
  1. 1. Anesthesiology Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  2. 2. Cardiovascular Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  3. 3. Department of Physiology, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran

Source: Journal of Cellular and Molecular Anesthesia Published:2019


Abstract

Cardiac surgical procedures are among the most complex operations with a detailed list of perioperative care. Weaning from CPB is associated with a number of disturbances in cardiac rhythm. One of the most challenging cardiac rhythm disturbances is the ventricular arrhythmia (tachycardia/fibrillation). Cardioversion and antiarrhythmic agents may be ineffective after aortic declamping; systemic hyperkalemia may be a therapeutic option. Here, we review the available studies regarding this issue and the possible underlying mechanisms of this therapeutic approach. © 2019 Shahid Beheshti University of Medical Sciences, Anesthesiology Research Center. All rights reserved.
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