Journal article
Clinical significance and predisposing factors to symptomatic bradycardia and hypotension after percutaneous transluminal coronary angioplasty
The American journal of cardiology, Vol.74(11), pp.1085-1088
1994
DOI: 10.1016/0002-9149(94)90456-1
PMID: 7977063
Abstract
Of 180 consecutive patients who underwent uneventful percutaneous transluminal coronary angioplasty (PTCA), 25 (13.9%) had at least 1 episode of symptomatic bradycardia and hypotension during the early postprocedure period. Symptomatic bradycardia and hypotension occurred 1 to 10 hours (mean 4 ± 2) after PTCA. A higher incidence of symptomatic bradycardia and hypotension was found in patients receiving regular treatment with β blockers (26% vs 10% in patients without β blockers in their regimen, p < 0.01), diltiazem or verapamil (20% vs 9%, p < 0.025), or both a β blocker and diltiazem or verapamil (64% vs 11%, p < 0.001). A higher incidence was also associated with angioplasty of the left anterior descending coronary artery compared with angioplasty of the other coronary arteries (22% vs 8%, p < 0.01). It is concluded that symptomatic bradycardia and hypotension is a common occurrence after PTCA. The incidence is higher after PTCA to the left anterior descending coronary artery and in patients receiving diltiazem, verapamil, and β-blocking agents; it is particularly high in patients receiving a combination of a β-blocking agent and either diltiazem or verapamil.
Details
- Title: Subtitle
- Clinical significance and predisposing factors to symptomatic bradycardia and hypotension after percutaneous transluminal coronary angioplasty
- Creators
- Aviv Mager - From the Coronary Care Unit, Department of Cardiology, Beilinson Medical Center, Petah Tikva, IsraelBoris Strasberg - From the Coronary Care Unit, Department of Cardiology, Beilinson Medical Center, Petah Tikva, IsraelEldad Rechavia - From the Coronary Care Unit, Department of Cardiology, Beilinson Medical Center, Petah Tikva, IsraelYochai Birnbaum - From the Coronary Care Unit, Department of Cardiology, Beilinson Medical Center, Petah Tikva, IsraelAlexander Mazur - From the Coronary Care Unit, Department of Cardiology, Beilinson Medical Center, Petah Tikva, IsraelNir Yativ - From the Coronary Care Unit, Department of Cardiology, Beilinson Medical Center, Petah Tikva, IsraelSamuel Sclarovsky - From the Coronary Care Unit, Department of Cardiology, Beilinson Medical Center, Petah Tikva, Israel
- Resource Type
- Journal article
- Publication Details
- The American journal of cardiology, Vol.74(11), pp.1085-1088
- Publisher
- Elsevier Inc
- DOI
- 10.1016/0002-9149(94)90456-1
- PMID
- 7977063
- ISSN
- 0002-9149
- eISSN
- 1879-1913
- Language
- English
- Date published
- 1994
- Academic Unit
- Cardiovascular Medicine; Internal Medicine
- Record Identifier
- 9984094703502771
Metrics
10 Record Views