Arrhythmias in Chronic Pulmonary Disease

Wolf, Phillip S.
October 1979
Angiology;Oct1979, Vol. 30 Issue 10, p676
Academic Journal
Arrhythmias often complicate the course of patients with severe respiratory disease; the frequency of arrhythmias in patients with this condition approaches that seen with acute myocardial infarction. No one rhythm disturbance predominates, but rapid atrial and ventricular rhythms are characteristic. In the setting of acute respiratory failure, several conditions may predispose to arrhythmias. Hypoxemia, a serum pH that is too high or too low, and a low serum potassium may produce arrhythmias by disturbing the myocardial cellular milieu. Drugs such as digitalis, epinephrine, and theophylline may also act as myocardial irritants. The first step in therapy is to assess the patient's clinical status. In addition to careful examination, it is helpful to note the specific effect of the arrhythmia on the patient. Some rhythm disturbances are well tolerated, while others are associated with serious problems in ventilation and perfusion. In many cases the control of respiration, correction of pH and electrolyte imbalance, and provision of bronchial hygiene will restore a normal sinus rhythm. Such measures are essential even when antiarrhythmic drugs or cardioversion are needed.


Related Articles

  • Potential Reasons Why Physicians Underuse Lung-Protective Ventilation: A Retrospective Cohort Study Using Physician Documentation. Mikkelsen, Mark E.; Dedhiya, Pali M.; Kalhan, Ravi; Gallop, Robert J.; Lanken, Paul N.; Fuchs, Barry D. // Respiratory Care;Apr2008, Vol. 53 Issue 4, p455 

    BACKGROUND: Physicians often fail to use lung-protective ventilation (LPV) in patients with acute lung injury. OBJECTIVE: To use physician documentation to identify why physicians did not initiate or continue LPV in patients with acute lung injury. METHODS: This was a retrospective cohort study...

  • Review: Noninvasive ventilation reduces mortality in acute respiratory failure. Sinuff, Tasnim // ACP Journal Club;Sep/Oct2002, Vol. 137 Issue 2, p50 

    Compares the effectiveness of noninvasive ventilation (NIV) versus standard medical therapy in reducing mortality in patients with acute respiratory failure (ARF). Effects of noninvasive ventilation on patients with acute respiratory failure secondary to chronic obstructive pulmonary disease...

  • Ventilatory Management of Acute Lung Injury and Acute Respiratory Distress Syndrome. Fan, Eddy; Needham, Dale M.; Stewart, Thomas E. // JAMA: Journal of the American Medical Association;12/14/2005, Vol. 294 Issue 22, p2889 

    Context The acute lung injury and acute respiratory distress syndrome are critical illnesses associated with significant morbidity and mortality. Mechanical ventilation is the cornerstone of supportive therapy. However, despite several important advances, the optimal strategy for ventilation and...

  • Editorial [Steroids in ARDS and Sepsis: Is it Time for a Comeback?]. Varon, Joseph; Acosta, Pilar // Current Respiratory Medicine Reviews;2007, Vol. 3 Issue 2, p93 

    In their original description Ashbaugh and coworkers, in 1967, described a syndrome characterized by refractory hypoxemia, diffuse lung infiltrates on chest radiograph, and decreased lung compliance in a group of 12 patients suffering from severe respiratory failure [1]. This syndrome would be...

  • Three cases of ARDS: An emerging complication of Plasmodium vivax malaria. Sarkar, Supriya; Saha, Kaushik; Das, Chandra Sekhar // Lung India;Jul-Sep2010, Vol. 27 Issue 3, p154 

    Plasmodium (P.) vivax malaria is rarely associated with severe complications like acute respiratory distress syndrome (ARDS). We report three cases of ARDS, which occurred as a complication of vivax malaria, from the city of Kolkata. A middle aged man who developed ARDS along with hepatic and...

  • ARDS.  // Current Medical Literature: Respiratory Medicine;2010, Vol. 24 Issue 1, p11 

    The article presents a randomized clinical trial on patients with acute respiratory distress syndrome (ARDS) receiving mechanical ventilation where those with moderate hypoxemia and those with severe hypoxemia underwent supine or prone positioning during ventilation.

  • The acute respiratory distress syndrome. Modrykamien, Ariel M.; Gupta, Pooja // Baylor University Medical Center Proceedings;Apr2015, Vol. 28 Issue 2, p163 

    The acute respiratory distress syndrome (ARDS) is a major cause of acute respiratory failure. Its development leads to high rates of mortality, as well as short- and long-term complications, such as physical and cognitive impairment. Therefore, early recognition of this syndrome and application...

  • Acute Respiratory Distress Syndrome: Pharmacological Treatment Options In Development. Hite, R.D.; Morris, P.E. // Drugs;May2001, Vol. 61 Issue 7, p897 

    The acute respiratory distress syndrome (ARDS) is a clinical syndrome with primarily supportive management options. Despite extensive basic and clinical investigations, multiple pharmacological and nonpharmacological modalities have been unsuccessful in decreasing mortality. Nonetheless, these...

  • Therapies for Refractory Hypoxemia in Acute Respiratory Distress Syndrome. Pipeling, Matthew R.; Fan, Eddy // JAMA: Journal of the American Medical Association;12/8/2010, Vol. 304 Issue 22, p2521 

    The article discusses therapy options for refractory hypoxemia in acute respiratory distress syndrome (ARDS). The case of a 23-year-old male economist who presented with a "bug bite" on his left calf after returning from his travel to New Orleans, Louisiana in July 2009. ARDS is clinically...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics