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British Journal of Anaesthesia, 1972, Vol. 44, No. 11 1179-1182
© 1972 The Board of Management and Trustees of the British Journal of Anaesthesia

research-article

DYSRHYTHMIA AND ORAL SURGERY; II: JUNCTIONAL RHYTHMS

J. P. ALEXANDER, M.B., F.F.A.R.C.S., M.R.C.P.(I), S. BEKHEIT, M.B., B.CH. and E. FLETCHER, O.B.E., Q.H.P., M.D., F.R.C.P., F.A.C.C., D.T.M. & H

Belfast City Hospital Northern Ireland
Northern Ireland Hospitals Authority

Twenty-one patients have been monitored using oesophageal electrocardiography to determine the site of origin of eaopic rhythms occurring during oral surgery. It has been confirmed that in twelve patients these arose in the junctional system of the heart. One patient developed a bidirectional junctional tachycardia which is considered to be a dangerous dysrhythmia. The role of the cardiac sympathetic nerve supply in the production of these rhythms is discussed.


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