TY - JOUR
T1 - Catecholamine excess
T2 - Probable cause of postoperative tachycardia following retroperitoneal lymph node dissection (RPLND) for testicular carcinoma
AU - Bahnson, Robert R.
AU - Andriole, Gerald L.
AU - Clayman, Ralph V.
AU - Catalona, William J.
PY - 1989/10
Y1 - 1989/10
N2 - Review of the postoperative course of seven patients who underwent retroperitoneal lymph node dissection (RPLND) for staging of testicular carcinoma revealed an unexplained tachycardia that was persistent for several days. Postoperative catecholamine determinations from three subsequent patients subjected to RPLND revealed dramatic increases in epinephrine, norepinephrine, dopamine, and total catecholamines. Since cardiac acceleration is mediated almost exclusively by sympathetic stimulation, this finding may explain the postoperative tachycardia observed in these patients.
AB - Review of the postoperative course of seven patients who underwent retroperitoneal lymph node dissection (RPLND) for staging of testicular carcinoma revealed an unexplained tachycardia that was persistent for several days. Postoperative catecholamine determinations from three subsequent patients subjected to RPLND revealed dramatic increases in epinephrine, norepinephrine, dopamine, and total catecholamines. Since cardiac acceleration is mediated almost exclusively by sympathetic stimulation, this finding may explain the postoperative tachycardia observed in these patients.
KW - heart rate
KW - stress responses
KW - testicular carcinoma
UR - http://www.scopus.com/inward/record.url?scp=0024366115&partnerID=8YFLogxK
U2 - 10.1002/jso.2930420213
DO - 10.1002/jso.2930420213
M3 - Article
C2 - 2796348
AN - SCOPUS:0024366115
SN - 0022-4790
VL - 42
SP - 132
EP - 135
JO - Journal of surgical oncology
JF - Journal of surgical oncology
IS - 2
ER -