| Autor: |
Ganea G; Department of Pediatrics, Faculty of Medicine, 'Carol Davila' University of Medicine and Pharmacy, 020021 Bucharest, Romania.; 'Marie Skolodowska Curie' Emergency Children's Hospital, 041451 Bucharest, Romania., Cinteză EE; Department of Pediatrics, Faculty of Medicine, 'Carol Davila' University of Medicine and Pharmacy, 020021 Bucharest, Romania.; 'Marie Skolodowska Curie' Emergency Children's Hospital, 041451 Bucharest, Romania., Filip C; Department of Pediatrics, Faculty of Medicine, 'Carol Davila' University of Medicine and Pharmacy, 020021 Bucharest, Romania.; 'Marie Skolodowska Curie' Emergency Children's Hospital, 041451 Bucharest, Romania., Iancu MA; Department of Internal Medicine, Family Medicine and Labor Medicine, Faculty of Medicine, 'Carol Davila' University of Medicine and Pharmacy, 020021 Bucharest, Romania.; 'Alessandrescu-Rusescu' National Institute for Mother and Child Health, 20382 Bucharest, Romania., Balta MD; Department of Internal Medicine, Family Medicine and Labor Medicine, Faculty of Medicine, 'Carol Davila' University of Medicine and Pharmacy, 020021 Bucharest, Romania.; 'Alessandrescu-Rusescu' National Institute for Mother and Child Health, 20382 Bucharest, Romania., Vătășescu R; Emergency Clinical Hospital, 014461 Bucharest, Romania.; Cardio-Thoracic Department, Faculty of Medicine, 'Carol Davila' University of Medicine and Pharmacy, 020021 Bucharest, Romania., Vasile CM; Pediatric and Adult Congenital Cardiology Department, Centre Hospitalier Universitaire de Bordeaux, 33000 Bordeaux, France., Cîrstoveanu C; Department of Neonatal Intensive Care, 'Carol Davila' University of Medicine and Pharmacy, 020021 Bucharest, Romania.; Neonatal Intensive Care Unit, M.S. Curie Children's Clinical Hospital, 041451 Bucharest, Romania., Bălgrădean M; Department of Pediatrics, Faculty of Medicine, 'Carol Davila' University of Medicine and Pharmacy, 020021 Bucharest, Romania.; 'Marie Skolodowska Curie' Emergency Children's Hospital, 041451 Bucharest, Romania. |
| Abstrakt: |
Cardiac arrhythmias are a frequent complication in the evolution of patients with congenital heart disease. Corrective surgery for these malformations is an additional predisposition to the appearance of arrhythmias. Several factors related to the patient, as well as to the therapeutic management, are involved in the etiopathogenesis of cardiac arrhythmias occurring post-operatively. The risk of arrhythmias in the immediate postoperative period is correlated with the patient's young age and low weight at surgery. The change in heart geometry, hemodynamic stress, and post-surgical scars represent the main etiopathogenic factors that can contribute to the occurrence of cardiac arrhythmias in the population of patients with operated-on congenital heart malformations. Clinical manifestations differ depending on the duration of the arrhythmia, underlying structural defects, hemodynamic conditions, and comorbidities. The accurate diagnosis and the establishment of specific management options strongly influence the morbidity and mortality associated with arrhythmias. As such, identifying the risk factors for the occurrence of cardiac arrhythmias in the case of each patient is essential to establish a specific follow-up and management plan to improve the life expectancy and quality of life of children. |
