ArticleAcute and critical care2022
Early postoperative arrhythmias after pediatric congenital heart disease surgery: a 5-year audit from a lower- to middle-income country.
Article in Acute and critical care, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed, 15 citations in OpenAlex.
- Computer-Based Simulation Technologies in Pediatric Cardiovascular Diseases: A Systematic Review of Applications and Outcomes.Healthcare (Basel, Switzerland) · 2026Review
- Arrhythmia Following Congenital Heart Disease Surgery in Oman:Sultan Qaboos University medical journal · 2026Article
- Clinical Spectrum, independent risk factors, and treatment outcomes of pediatric arrhythmias: a multicenter retrospective analysis in Xinjiang.Frontiers in pediatrics · 2026Article
- Surgery for congenital heart disease in Pakistan-the challenges and solutions.Indian journal of thoracic and cardiovascular surgery · 2025Review
- 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
- Computer-Based Simulation for Pediatric Cardiovascular Disease Management: A Policy Brief.Global pediatric health · 2024Article
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Authors and funding
8 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundArrhythmias are known complication after surgery for congenital heart disease (CHD). This study aimed to identify and discuss their immediate prevalence, diagnosis and management at a tertiary care hospital in Pakistan.
methodsA retrospective study was conducted at a tertiary care hospital in Pakistan between January 2014 and December 2018. All pediatric (<18 years old) patients admitted to the intensive care unit and undergoing continuous electrocardiographic monitoring after surgery for CHD were included in this study. Data pertaining to the incidence, diagnosis, and management of postoperative arrhythmias were collected.
resultsAmongst 812 children who underwent surgery for CHD, 185 (22.8%) developed arrhythmias. Junctional ectopic tachycardia (JET) was the most common arrhythmia, observed in 120 patients (64.9%), followed by complete heart block (CHB) in 33 patients (17.8%). The highest incidence of early postoperative arrhythmia was seen in patients with atrioventricular septal defects (64.3%) and transposition of the great arteries (36.4%). Patients were managed according to the Pediatric Advanced Life Support guidelines. JET resolved successfully within 24 hours in 92% of patients, while 16 (48%) patients with CHB required a permanent pacemaker.
conclusionsMore than one in five pediatric patients suffered from early postoperative arrhythmias in our setting. Further research exploring predictive factors and the development of better management protocols of patients with CHB are essential for reducing the morbidity and mortality associated with postoperative arrhythmia.
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