{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T14:35:44Z","timestamp":1740148544365,"version":"3.37.3"},"reference-count":84,"publisher":"Wiley","license":[{"start":{"date-parts":[[2013,1,1]],"date-time":"2013-01-01T00:00:00Z","timestamp":1356998400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/3.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Anesthesiology Research and Practice"],"published-print":{"date-parts":[[2013]]},"abstract":"<jats:p>Supraventricular arrhythmias are common rhythm disturbances following pulmonary surgery. The overall incidence varies between 3.2% and 30% in the literature, while atrial fibrillation is the most common form. These arrhythmias usually have an uneventful clinical course and revert to normal sinus rhythm, usually before patent\u2019s discharge from hospital. Their importance lies in the immediate hemodynamic consequences, the potential for systemic embolization and the consequent long-term need for prophylactic drug administration, and the increased cost of hospitalization. Their incidence is probably related to the magnitude of the performed operative procedure, occurring more frequently after pneumonectomy than after lobectomy. Investigators believe that surgical factors (irritation of the atria per se or on the ground of chronic inflammation of aged atria), direct injury to the anatomic structure of the autonomic nervous system in the thoracic cavity, and postthoracotomy pain may contribute independently or in association with each other to the development of these arrhythmias. This review discusses currently available information about the potential mechanisms and risk factors for these rhythm disturbances. The discussion is in particular focused on the role of postoperative pain and its relation to the autonomic imbalance, in an attempt to avoid or minimize discomfort with proper analgesia utilization.<\/jats:p>","DOI":"10.1155\/2013\/413985","type":"journal-article","created":{"date-parts":[[2013,10,23]],"date-time":"2013-10-23T22:29:56Z","timestamp":1382567396000},"page":"1-12","source":"Crossref","is-referenced-by-count":5,"title":["Supraventricular Arrhythmias after Thoracotomy: Is There a Role for Autonomic Imbalance?"],"prefix":"10.1155","volume":"2013","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5682-2925","authenticated-orcid":true,"given":"George","family":"Vretzakis","sequence":"first","affiliation":[{"name":"Anesthesiology Clinic, University Hospital of Larissa, 41110 Mezourlo, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marina","family":"Simeoforidou","sequence":"additional","affiliation":[{"name":"Anesthesiology Clinic, University Hospital of Larissa, 41110 Mezourlo, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Konstantinos","family":"Stamoulis","sequence":"additional","affiliation":[{"name":"Anesthesiology Clinic, University Hospital of Larissa, 41110 Mezourlo, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Metaxia","family":"Bareka","sequence":"additional","affiliation":[{"name":"Anesthesiology Clinic, University Hospital of Larissa, 41110 Mezourlo, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","reference":[{"key":"1","doi-asserted-by":"crossref","first-page":"688","DOI":"10.7326\/0003-4819-61-4-688","volume":"61","year":"1964","journal-title":"Annals of Internal Medicine"},{"issue":"4","key":"2","doi-asserted-by":"crossref","first-page":"490","DOI":"10.1378\/chest.91.4.490","volume":"91","year":"1987","journal-title":"Chest"},{"key":"3","doi-asserted-by":"publisher","DOI":"10.1016\/0003-4975(95)01174-9"},{"issue":"6","key":"4","doi-asserted-by":"crossref","first-page":"1104","DOI":"10.1016\/S0022-5223(19)33985-6","volume":"106","year":"1993","journal-title":"Journal of Thoracic and Cardiovascular Surgery"},{"key":"5","doi-asserted-by":"publisher","DOI":"10.1016\/S1010-7940(98)00084-0"},{"key":"6","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-4975(98)00942-4"},{"key":"7","doi-asserted-by":"publisher","DOI":"10.1016\/S1010-7940(00)00428-0"},{"issue":"2","key":"8","doi-asserted-by":"crossref","first-page":"253","DOI":"10.1213\/00000539-200108000-00003","volume":"93","year":"2001","journal-title":"Anesthesia and Analgesia"},{"key":"9","doi-asserted-by":"publisher","DOI":"10.1378\/chest.120.6.1783"},{"issue":"4","key":"10","doi-asserted-by":"crossref","first-page":"688","DOI":"10.1016\/S1010-7940(01)00890-9","volume":"20","year":"2001","journal-title":"European Journal of Cardio-Thoracic Surgery"},{"key":"11","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2012.03.057"},{"key":"12","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2482-4-1"},{"key":"13","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2005.02.010"},{"key":"14","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2003.07.011"},{"issue":"4","key":"15","doi-asserted-by":"crossref","first-page":"551","DOI":"10.1016\/S0022-5223(19)36024-6","volume":"91","year":"1986","journal-title":"Journal of Thoracic and Cardiovascular Surgery"},{"key":"16","doi-asserted-by":"publisher","DOI":"10.1097\/00000542-199605000-00008"},{"key":"17","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5223(03)00974-7"},{"issue":"4","key":"18","doi-asserted-by":"crossref","first-page":"790","DOI":"10.1067\/mtc.2000.109538","volume":"120","year":"2000","journal-title":"Journal of Thoracic and Cardiovascular Surgery"},{"key":"19","doi-asserted-by":"publisher","DOI":"10.1016\/S0169-5002(02)00014-4"},{"issue":"3","key":"20","doi-asserted-by":"crossref","first-page":"356","DOI":"10.1161\/01.RES.58.3.356","volume":"58","year":"1986","journal-title":"Circulation Research"},{"issue":"5","key":"21","doi-asserted-by":"crossref","first-page":"769","DOI":"10.1161\/01.CIR.103.5.769","volume":"103","year":"2001","journal-title":"Circulation"},{"issue":"2","key":"23","doi-asserted-by":"crossref","first-page":"352","DOI":"10.1097\/00000542-200202000-00021","volume":"96","year":"2002","journal-title":"Anesthesiology"},{"issue":"3","key":"24","doi-asserted-by":"crossref","first-page":"253","DOI":"10.1016\/S0003-4975(10)60125-7","volume":"36","year":"1983","journal-title":"Annals of Thoracic Surgery"},{"issue":"4","key":"25","doi-asserted-by":"crossref","first-page":"642","DOI":"10.1016\/0003-4975(92)90325-X","volume":"53","year":"1992","journal-title":"Annals of Thoracic Surgery"},{"issue":"4","key":"26","doi-asserted-by":"crossref","first-page":"279","DOI":"10.7326\/0003-4819-129-4-199808150-00003","volume":"129","year":"1998","journal-title":"Annals of Internal Medicine"},{"key":"27","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.27.4.742"},{"issue":"1","key":"28","doi-asserted-by":"crossref","first-page":"102","DOI":"10.1016\/0002-9610(62)90023-5","volume":"103","year":"1962","journal-title":"The American Journal of Surgery"},{"issue":"2","key":"29","doi-asserted-by":"crossref","first-page":"337","DOI":"10.1113\/jphysiol.1996.sp021772","volume":"497","year":"1996","journal-title":"Journal of Physiology"},{"issue":"6","key":"30","doi-asserted-by":"crossref","first-page":"1104","DOI":"10.1016\/S0022-5223(19)33985-6","volume":"106","year":"1993","journal-title":"Journal of Thoracic and Cardiovascular Surgery"},{"issue":"3","key":"31","first-page":"161","volume":"89","year":"1989","journal-title":"Acta Chirurgica Belgica"},{"issue":"1","key":"32","doi-asserted-by":"crossref","first-page":"30","DOI":"10.1016\/S0022-5223(19)43270-4","volume":"51","year":"1966","journal-title":"Journal of Thoracic and Cardiovascular Surgery"},{"key":"33","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-0736(05)80047-0"},{"key":"34","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM200104053441407"},{"issue":"5","key":"22","doi-asserted-by":"crossref","first-page":"1132","DOI":"10.1097\/00000539-200205000-00013","volume":"94","year":"2002","journal-title":"Anesthesia and Analgesia"},{"key":"35","doi-asserted-by":"publisher","DOI":"10.1016\/S0735-1097(98)00274-5"},{"key":"36","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2008.07.021"},{"key":"37","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2006.09.022"},{"key":"38","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199809033391003"},{"key":"39","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9149(98)00231-8"},{"issue":"5","key":"40","doi-asserted-by":"crossref","first-page":"429","DOI":"10.1161\/01.CIR.98.5.429","volume":"98","year":"1998","journal-title":"Circulation"},{"key":"41","doi-asserted-by":"publisher","DOI":"10.1016\/S0735-1097(98)00305-2"},{"issue":"2","key":"42","doi-asserted-by":"crossref","first-page":"482","DOI":"10.1161\/01.CIR.84.2.482","volume":"84","year":"1991","journal-title":"Circulation"},{"issue":"5","key":"43","doi-asserted-by":"crossref","first-page":"1043","DOI":"10.1161\/01.CIR.93.5.1043","volume":"93","year":"1996","journal-title":"Circulation"},{"issue":"9","key":"44","doi-asserted-by":"crossref","first-page":"3224","DOI":"10.1161\/01.CIR.96.9.3224","volume":"96","year":"1997","journal-title":"Circulation"},{"key":"45","doi-asserted-by":"publisher","DOI":"10.1098\/rsta.2008.0188"},{"key":"46","doi-asserted-by":"publisher","DOI":"10.1016\/S0008-6363(01)00240-1"},{"issue":"1","key":"47","doi-asserted-by":"crossref","first-page":"76","DOI":"10.1161\/01.CIR.79.1.76","volume":"79","year":"1989","journal-title":"Circulation"},{"issue":"12","key":"48","doi-asserted-by":"crossref","first-page":"969","DOI":"10.1093\/cvr\/24.12.969","volume":"24","year":"1990","journal-title":"Cardiovascular Research"},{"key":"49","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/aeg212"},{"key":"50","doi-asserted-by":"publisher","DOI":"10.1016\/S0735-1097(03)00955-0"},{"key":"51","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.0000018443.44005.D8"},{"issue":"6","key":"52","first-page":"393","volume":"75","year":"2009","journal-title":"Minerva Anestesiologica"},{"key":"53","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejcts.2009.02.005"},{"key":"54","doi-asserted-by":"publisher","DOI":"10.1053\/jcan.2000.18318"},{"key":"55","doi-asserted-by":"publisher","DOI":"10.1016\/j.icvts.2004.08.002"},{"issue":"5","key":"56","doi-asserted-by":"crossref","first-page":"500","DOI":"10.1097\/00000542-198511000-00005","volume":"63","year":"1985","journal-title":"Anesthesiology"},{"key":"57","doi-asserted-by":"publisher","DOI":"10.1016\/0952-8180(95)00025-D"},{"issue":"3","key":"58","doi-asserted-by":"crossref","first-page":"609","DOI":"10.1097\/00000542-199503000-00002","volume":"82","year":"1995","journal-title":"Anesthesiology"},{"key":"59","doi-asserted-by":"publisher","DOI":"10.1097\/00000542-199510000-00041"},{"key":"60","doi-asserted-by":"publisher","DOI":"10.1111\/j.1399-6576.2008.01713.x"},{"key":"61","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/aep172"},{"key":"62","doi-asserted-by":"publisher","DOI":"10.1053\/j.jvca.2010.08.003"},{"key":"63","doi-asserted-by":"publisher","DOI":"10.1055\/s-2003-37279"},{"key":"64","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-4975(01)02631-5"},{"key":"65","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejcts.2006.10.020"},{"issue":"1","key":"66","doi-asserted-by":"crossref","first-page":"86","DOI":"10.1016\/0003-4975(90)90094-M","volume":"50","year":"1990","journal-title":"Annals of Thoracic Surgery"},{"issue":"1","key":"67","doi-asserted-by":"crossref","first-page":"41","DOI":"10.1136\/thx.47.1.41","volume":"47","year":"1992","journal-title":"Thorax"},{"issue":"1","key":"68","doi-asserted-by":"crossref","first-page":"86","DOI":"10.1016\/0003-4975(93)90478-Z","volume":"55","year":"1993","journal-title":"Annals of Thoracic Surgery"},{"issue":"6","key":"69","doi-asserted-by":"crossref","first-page":"964","DOI":"10.1016\/0003-4975(91)91016-O","volume":"51","year":"1991","journal-title":"Annals of Thoracic Surgery"},{"key":"70","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-4975(97)00235-X"},{"issue":"2","key":"71","doi-asserted-by":"crossref","first-page":"232","DOI":"10.1016\/0003-4975(89)90076-3","volume":"48","year":"1989","journal-title":"Annals of Thoracic Surgery"},{"issue":"3","key":"72","doi-asserted-by":"crossref","first-page":"537","DOI":"10.1213\/00000539-200209000-00006","volume":"95","year":"2002","journal-title":"Anesthesia and Analgesia"},{"key":"73","doi-asserted-by":"publisher","DOI":"10.1016\/0003-4975(96)00073-2"},{"issue":"6","key":"74","doi-asserted-by":"crossref","first-page":"1642","DOI":"10.1378\/chest.105.6.1642","volume":"105","year":"1994","journal-title":"Chest"},{"key":"75","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-4975(02)04285-6"},{"key":"76","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2009.04.074"},{"key":"77","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2011.12.096"},{"key":"78","doi-asserted-by":"publisher","DOI":"10.1023\/A:1024203824761"},{"key":"79","doi-asserted-by":"publisher","DOI":"10.1097\/ACO.0b013e32801158bb"},{"key":"80","doi-asserted-by":"publisher","DOI":"10.1016\/S1053-0770(97)90169-5"},{"key":"81","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-4975(98)01226-0"},{"issue":"6","key":"82","doi-asserted-by":"crossref","first-page":"300","DOI":"10.1055\/s-2007-1012041","volume":"44","year":"1996","journal-title":"Thoracic and Cardiovascular Surgeon"},{"key":"83","doi-asserted-by":"publisher","DOI":"10.1097\/CRD.0b013e31813e62bb"},{"key":"84","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2004.07.042"}],"container-title":["Anesthesiology Research and Practice"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/arp\/2013\/413985.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/arp\/2013\/413985.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/arp\/2013\/413985.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,3,10]],"date-time":"2022-03-10T10:46:38Z","timestamp":1646909198000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.hindawi.com\/journals\/arp\/2013\/413985\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013]]},"references-count":84,"alternative-id":["413985","413985"],"URL":"https:\/\/doi.org\/10.1155\/2013\/413985","relation":{},"ISSN":["1687-6962","1687-6970"],"issn-type":[{"type":"print","value":"1687-6962"},{"type":"electronic","value":"1687-6970"}],"subject":[],"published":{"date-parts":[[2013]]}}}