Timing of pulmonary valve replacement in patients with corrected Fallot to prevent QRS prolongation

Autor: Natasha M S de Groot, Johanna J.M. Takkenberg, M. Mostafa Mokhles, Nico Bruining, Pieter C van de Woestijne, Judith A.A.E. Cuypers, Ad J.J.C. Bogers, Jamie L.R. Romeo
Přispěvatelé: Cardiothoracic Surgery, Cardiology
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Pulmonary and Respiratory Medicine
Eacts/164
Adult
Male
medicine.medical_specialty
Qrs prolongation
Adolescent
Eacts/161
Wide QRS complex
030204 cardiovascular system & hematology
QRS
03 medical and health sciences
QRS complex
Congenital
Young Adult
0302 clinical medicine
Allograft
Internal medicine
Pulmonary Valve Replacement
medicine
Humans
In patient
Timing
Cardiac Surgical Procedures
Tetralogy of Fallot
Aged
Heart Valve Prosthesis Implantation
Pulmonary Valve
business.industry
AcademicSubjects/MED00920
Infant
General Medicine
medicine.disease
eye diseases
Pulmonary Valve Insufficiency
Cardiac surgery
Treatment Outcome
030228 respiratory system
Pulmonary valve replacement
Child
Preschool
Cardiology
Surgery
Female
Transannular patch
sense organs
Cardiology and Cardiovascular Medicine
business
Zdroj: European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery, 58(3), 559-566. Elsevier
European Journal of Cardio-Thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery
ISSN: 1010-7940
Popis: OBJECTIVES Timing of pulmonary valve replacement (PVR) remains one of the most heavily debated topics in congenital cardiac surgery. We aimed to analyse the temporal evolution of QRS duration before and after PVR. METHODS We included 158 consecutive patients who underwent PVR after previous correction with transannular patch. All 3549 available serial standard 12-lead surface QRS measurements of 158 (100%) patients were analysed with linear mixed-effect modelling. RESULTS PVR was performed at a mean age of 28.0 ± 10.7 years, 23.4 ± 8.4 years after correction. Hospital survival was 98.1%. A longer time interval between ToF correction and PVR (P CONCLUSIONS Prolongation of QRS duration after PVR was associated with a longer time between correction and PVR, older age at correction and male sex. Prevention of progressive QRS prolongation by earlier PVR can potentially reduce the hazard of adverse events after PVR.
Databáze: OpenAIRE
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