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REPLY

Perioperative Supraventricular Tachyarrhythmia

right arrow Thomas H. Lee, MD, and Carisi A. Polanczyk, MD

18 May 1999 | Volume 130 Issue 10 | Page 864


IN RESPONSE:

We agree with Dr. Amar that age is a continuous risk factor; we chose to express it as a dichotomous factor to allow easier appreciation of its importance. The mean (±SD) ages of patients with and without supraventricular arrhythmia in our cohort were 68 ± 9.6 and 66 ± 9.6 years, respectively (P < 0.01). We also agree that the finding of a lower rate of arrhythmia among patients having thoracic surgery who were using digoxin before surgery should be interpreted with caution, as indicated in our article. However, the magnitude in the reduction in risk for supraventricular arrhythmia among this subset of patients (odds ratio, 0.2) was sufficiently large that we wanted to call attention to it so that it could be evaluated in future research.


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Partners Community HealthCare, Inc.; Boston, MA 02199 (Lee)
Brigham and Women's Hospital; Boston, MA 02115 (Polanczyk)

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Related articles in Annals:

Articles
Supraventricular Arrhythmia in Patients Having Noncardiac Surgery: Clinical Correlates and Effect on Length of Stay
Carisi A. Polanczyk, Lee Goldman, Edward R. Marcantonio, E. John Orav, AND Thomas H. Lee
Annals 1998 129: 279-285. [ABSTRACT][Full Text]  

Letters
Perioperative Supraventricular Tachyarrhythmia
David Amar
Annals 1999 130: 863-864. [Full Text]  




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