Arrhythmias after surgical correction of complete transposition—follow-up into adolescence
| Autor: | Paul A. Hutter, Menno W. Baars, Karin T. den Boer, Erik J. Meijboom, J. Herre Kingma, E. Harinck, Ronald F. F. van den Haak, Avram A. Benatar |
|---|---|
| Rok vydání: | 1996 |
| Předmět: |
business.industry
medicine.medical_treatment General Medicine medicine.disease Sudden death Pulmonary hypertension Anesthesia Pediatrics Perinatology and Child Health Heart rate Ambulatory cardiovascular system medicine Wandering pacemaker Senning Procedure Sinus rhythm cardiovascular diseases Cardiology and Cardiovascular Medicine business Mustard procedure |
| Zdroj: | Cardiology in the Young. 6:156-161 |
| ISSN: | 1467-1107 1047-9511 |
| DOI: | 10.1017/s1047951100003516 |
| Popis: | SummaryThe long-term natural progression of cardiac rhythm and the incidence of serious arrhythmias in relation to previous procedures and associated heart defects were studied in a group of 76 patients after an arterial switch operation for complete transposition and compared to a group of 24 patients who had undergone intraatrial corrections (Mustard or Senning operation). Standard and 24-hour ambulatory electrocardiograms were reviewed. Mean follow-up was 7.9 years (range 2-16) after an arterial switch and 15.2 years (range 6-26) following the Mustard or Senning procedures. One patient died after an arterial switch from pulmonary hypertension (age 9.9 years), and three patients died suddenly, presumably from arrhythmias, following atrial redirection procedures (ages 13, 18 and 20 years). Symptomatic arrhythmias were not seen after the arterial switch operation. Three patients required pacemaker implantation after atrial redirection, and a further two required medication to control tachyarrhythmias. Survival analysis of sequential electrocardiograms showed a mean maintenance of sinus rhythm during 12.9 years (95% confidence interval 11.4-14.5) after the arterial switch and 9.0 years (7.3-10.7) after atrial procedures (p=0.003). Development of heart rate was significantly different (p=0.001), with higher rates in adolescents after an arterial switch. Twenty-four-hour recordings were abnormal in five of 72 patients following arterial correction, disclosing excessive ventricular extrasystoles in four (three monomorphic, one polymorphic) and a wandering pacemaker in one. After atrial procedures, 11 of 19 were abnormal (p |
| Databáze: | OpenAIRE |
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