Impact of high thoracic epidural anesthesia on incidence of perioperative atrial fibrillation in off-pump coronary bypass grafting: A prospective randomized.

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Impact of high thoracic epidural anesthesia on incidence of perioperative atrial fibrillation in off-pump coronary bypass grafting: A prospective randomized study  Farhad Bakhtiary, MD, Panagiotis Therapidis, MD, Omer Dzemali, MD, Koray Ak, MD, Hanns Ackermann, MD, PhD, Dirk Meininger, MD, PhD, Paul Kessler, MD, PhD, Peter Kleine, MD, PhD, Anton Moritz, MD, PhD, Tayfun Aybek, MD, PhD, Selami Dogan, MD  The Journal of Thoracic and Cardiovascular Surgery  Volume 134, Issue 2, Pages 460-464 (August 2007) DOI: 10.1016/j.jtcvs.2007.03.043 Copyright © 2007 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 Intraoperative heart rate monitoring. A, Before induction of anesthesia; B, sternotomy; C, before anastomosis; D, after anastomosis; E, sternal closure. GA, General anesthesia; TEA, high thoracic epidural anesthesia. The Journal of Thoracic and Cardiovascular Surgery 2007 134, 460-464DOI: (10.1016/j.jtcvs.2007.03.043) Copyright © 2007 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 Serum epinephrine levels. A, Before induction of anesthesia; B, sternotomy; C, before anastomosis; D, after anastomosis; E, sternal closure; F, 1 hour postoperatively. GA, General anesthesia; TEA, high thoracic epidural anesthesia. The Journal of Thoracic and Cardiovascular Surgery 2007 134, 460-464DOI: (10.1016/j.jtcvs.2007.03.043) Copyright © 2007 The American Association for Thoracic Surgery Terms and Conditions