ArticleTurk gogus kalp damar cerrahisi dergisi2021
Early postoperative arrhythmias in patients undergoing congenital heart surgery.
Article in Turk gogus kalp damar cerrahisi dergisi, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed, 22 citations in OpenAlex.
- Early Currents: Developmental Electrophysiology and Arrhythmia in Pediatric Congenital Heart Disease.Journal of cardiovascular development and disease · 2025Review
- Use of ivabradine in children with junctional ectopic tachycardia after pediatric cardiac surgery; two-centre experience.Journal of arrhythmia · 2024Article
- Article
- Postoperative Atrioventricular Block in Pediatric Patients: Impact of Congenital Cardiac Malformations and Medications.Pediatric cardiology · 2024Article
- Prevalence and risk factors analysis of early postoperative arrhythmia after congenital heart surgery in pediatric patients.Journal of arrhythmia · 2024Article
- Prevalence and Short-Term Outcomes of Postprocedural Complete Heart Block in Congenital Heart Disease Correction in Children.The journal of Tehran Heart Center · 2024Article
- Postoperative Cardiac Arrhythmias in Pediatric and Neonatal Patients with Congenital Heart Disease-A Narrative Review.Life (Basel, Switzerland) · 2023Review
- Antiarrhythmic Drug Dosing in Children-Review of the Literature.Children (Basel, Switzerland) · 2023Review
- Risk factors of early postoperative cardiac arrhythmia after pediatric cardiac surgery: A single-center experience.Saudi medical journal · 2022Article
- [Reversible severe cardiomyopathy caused by a slow permanent tachycardia].Herzschrittmachertherapie & Elektrophysiologie · 2021Article
- Randomized controlled trial to evaluate the effect of prophylactic amiodarone versus dexmedetomidine on reducing the incidence of postoperative junctional ectopic tachycardia after pediatric open heart surgery.Annals of pediatric cardiologyArticle
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Authors and funding
8 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThis study aims to evaluate early postoperative arrhythmias in children undergoing congenital cardiac surgery.
methodsA total of 670 pediatric patients (355 males, 315 females; median age: 4 months; range, 1 day to 18 years) who underwent cardiac surgery due to congenital heart defects between December 2018 and November 2019 were included. The rate of postoperative arrhythmias, diagnosis, potential risk factors, and management strategies were evaluated. Multivariate regression analysis was used to identify significant factors of development of postoperative arrhythmias.
resultsTachyarrhythmia was detected in 54 patients (8.1%), and the most common tachyarrhythmia was junctional ectopic tachycardia. Medical treatment was required in 25/38 (66%) of junctional ectopic tachycardia patients. Amiodarone was initiated in 18, dexmedetomidine in five, and flecainide + amiodarone in two of the patients. Different degrees of atrioventricular block were observed in 30 patients (4.5%). In 12 patients, permanent pacemakers were implanted during hospitalization. Age at the time of surgery under one-year-old, high inotropic scores, prolonged operation time, and high Aristotele"s scores were independent risk factors associated with early postoperative arrhythmia (p<0.05). The most common operations associated with early postoperative arrhythmia were left ventricular outflow tract, (6/20, 30%), complete atrioventricular septal defect (13/53, 24%), and tetralogy of Fallot (20/134, 14%) surgeries.
conclusionCardiac arrhythmias are common in the early period after congenital heart surgery in children. The diagnosis and frequency of arrhythmias may vary according to different surgical procedures.
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