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The Annals of Thoracic Surgery, Vol 35, 271-273, Copyright © 1983 by The Society of Thoracic Surgeons

ARTICLES

Severe hypotension due to the use of bretylium for postcardiotomy ventricular arrhythmias

IL Kron and SP Nolan

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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Copyright © 1983 by The Society of Thoracic Surgeons.