We introduce a simple method to distinguish permanent from transient non-sinus rhythm immediately after resuscitation in cardiac operations. An ice slush of normal saline is sprayed on the surface of the right atrium around the sinus node. If the arrhythmia is transient, the heart usually regains sinus rhythm; if not, the arrhythmia will most likely be permanent. Although we do not know the mechanism, this technique is easy and has worked well in 162 patients.
AndersenHØde LevalMRTsangVTElliottMJAndersonRHCookAC. Is complete heart block after surgical closure of ventricular septum defects still an issue?. Ann Thorac Surg2006; 82: 948–956.
2.
WesslénOvan der LindenJEkrothRJoachimssonPONordgrenLNyströmSO. Myocardial recovery after cardiac surgery: a study of hemodynamic performance and electrophysiology during the first 18 postoperative hours. J Cardiothorac Anesth1990; 4: 672–680.
3.
DhingraRCAmat-Y-LeonFWyndhamCDenesPWuDPougetJM. Electrophysiologic effects of atropine on human sinus node and atrium. Am J Cardiol1976; 38: 429–434.
