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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What caused the demise after CABG surgery?

My father in law had a CABG almost 6 weeks ago. His son took him for a routine followup at the cardiologists office because his bp's were running low, in the 80's systolic. They did an EKG in the office and we were later told that they thought he was in a-flutter. The doctor came in and gave 3 doses of adenosine, my father in law was having trouble breathing after the 2nd dose and went into full cardiac arrest after the 3rd dose. He did not survive, we took him off life support 3 days later
Tue, 27 Dec 2016
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Internal Medicine Specialist 's  Response
DEAR USER
THANKS FOR CONSULTING AT HCM

I UNDERSTAND YOUR CONCERN..

AS YOUR FATHER IN LAW HAD A CABG DONE IT WAS DONE PRIBABLY BECAUSE HE HAD BLOCK IN THE CORONARY VESSELS

SO HE WAS SUFFERING FROM ISCHEMIC HEART DISEASE.. FOR WHICH HE WAS TREATED WITH CABG

SUCH PATIENTS ARE PRONE TO DEVELOP ARRYTHMIA LIKE PSVT (ATRIAL FLUTTER)

THERE ARE MANY RISK FACTORS FOR A FLUTTER POST CARDIAC SURGERY THAT INCLUDE

Increasing age
Previous history of AF
Chronic obstructive pulmonary disease (COPD)
Elevated preoperative hemoglobin A1c
Low-intensity physical activity in the year prior to surgery
Caucasian race
Obesity

ALL THESE CAN PRECIPITATE THE FLUTTER AND THE FLUTTER LED TO THE DEVELOPMENT OF CARDIAC ARREST AND HENCE THE DEMISE OF YOUR FATHER IN LAW



HOPE I HAVE ANSWERED YOUR QUESTION.. YOU CAN MESSAGE ME FOR ANY FURTHER CONCERNS
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