Aortic surgery complications evaluated by an implanted continuous electrocardiography device: a case report.

European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery

PubMedID: 21195641

Winkel TA, Rouwet EV, van Kuijk JP, Voute MT, de Melis M, Verhagen HJ, Poldermans D. Aortic surgery complications evaluated by an implanted continuous electrocardiography device: a case report. Eur J Vasc Endovasc Surg. 2011;41(3):334-6.
INTRODUCTION
Cardiac arrhythmias are a major cause for morbidity and mortality in patients undergoing non-cardiac vascular surgery.

REPORT
An implantable loop recorder (Reveal(®) XT) was used for continuous heart rhythm monitoring to detect perioperative arrhythmias in a 69-year-old man undergoing major vascular surgery for an infected aortobifemoral prosthesis. The Reveal(®) detected several episodes of asymptomatic new-onset atrial fibrillation postoperatively, associated with elevated serum levels of troponin-T and N-terminal pro-B-type natriuretic peptide NT-proBNP).

DISCUSSION
Continuous heart rhythm monitoring with assessment of serum cardiac biomarkers may allow early identification and treatment of patients at high risk of perioperative cardiovascular complications, in particular, cardiac arrhythmias.