Propranolol in tetralogy of Fallot.

نویسنده

  • G R Cumming
چکیده

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Production of Increased Right - to - Left Shunting by Rapid Heart Rates in Patients with Tetralogy of Fallot By SPENCER

A patient with tetralogy of Fallot who developed cyanosis and tachypnea during spontaneous attacks of paroxysmal atrial tachycardia had an increase in right-to-left shunting with a fall in arterial oxygen saturation from 96 to 43%. Duplication of the fast heart rate by atropine and atrial pacing reproduced these hemodynamic changes, while slowing the rate with propranolol reversed this effect. ...

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Production of increased right-to-left shunting by rapid heart rates in patients with tetralogy of Fallot.

A patient with tetralogy of Fallot who developed cyanosis and tachypnea during spontaneous attacks of paroxysmal atrial tachycardia had an increase in right-to-left shunting with a fall in arterial oxygen saturation from 96 to 43%. Duplication of the fast heart rate by atropine and atrial pacing reproduced these hemodynamic changes, while slowing the rate with propranolol reversed this effect. ...

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Propranolol treatment in children with tetralogy of Fallot alters the response to isoprenaline after surgical repair.

When propranolol is given to prevent hypoxaemic episodes in children with tetralogy of Fallot who are awaiting operation it is advisable to continue the treatment until shortly before the induction of anaesthesia. Because catecholamines are often required to maintain adequate cardiac output after surgical correction the effect of preoperative treatment with beta blockers on the response to isop...

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عنوان ژورنال:
  • Circulation

دوره 41 1  شماره 

صفحات  -

تاریخ انتشار 1970