2007, Number 4
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Arch Cardiol Mex 2007; 77 (4)
Incidence and clinical behavior of arrhythmias associated with congenital heart disease and surgical treatment
Cline HBÓ, Rivera-Rodríguez L, Iturralde TP
Language: Spanish
References: 9
Page: 295-298
PDF size: 90.63 Kb.
ABSTRACT
Congenital heart disease is associated with arrhythmias. Not only the congenital anatomic settings but also the arrhythmogenic substrate related to surgical procedures is associated with the increased incidence of arrhythmias in these patients. In the National Institute of Cardiology, we reviewed retrospectively 128 clinical records of patients subjeted to surgical treatment of congenital heart disease (81 Fontan surgery, 19 with anomalous pulmonary drainage, 19 Fallot tetralogy). The incidence of supraventricular tachycardia was 8.6%, and the bradyarrhythmias were 15% with AV block in different degrees. Permanent pacing was required in 7.8% of the patients. The incidence of arrhythmias in post-surgical patients with congenital heart disease is increasing constantly.
REFERENCES
Wellens HJ: Cardiac arrhythmias: The quest for a cure. A historical perspective. J Am Coll Cardiol 2004; 44: 1155- 63.
Spach MS, Heidlage JF, Dolber PC, Barr RC: Electrophysiological effects of remodeling cardiac gap junctions and cell size. Circ Res 2000; 86: 302-311.
Kirsh JA, Walsh EP, Triedman JK: Prevalence of and risk factors for atrial fibrillation and intra-atrial reentrant tachycardia among patients with congenital heart disease. Am J Cardiol 2002; 90: 338-340.
Walker RE, Mayer JE, Alexander ME, Walsh EP, Berul CI: Paucity of sinus node dysfunction following repair of sinus venosus defects in children. Am J Cardiol 2001; 87: 1223-1226.
Folino AF, Daliento L: Arrhythmias after Tetralogy of Fallot Repair. Indian Pacing and Electrophysiology J 2005; 5(4): 312-324.
Therrien J, Ross-Marx G, Gatzoulis MA: Late problems in tetralogy of Fallot—recognition, management, and prevention. Cardiol Clin 2002; 20: 395-404.
Agnoletti G, Borghi A, Vignati G, Crupi GC: Fontan conversion to total cavopulmonary connection and arrhythmia ablation: clinical and functional results. Heart 2003; 89; 193-198.
van den Bosch AE, Roos-Hesselink JW, Van Domburg R, Borges AJ, Simoons ML, Meijboom FJ: Long-Term Outcome and Quality of Life in Adult Patients After the Fontan Operation. Am J Cardiol mayo 2004; (93): 1141-1145.
Korbmacher B, Buttgen D, Shulte HD, Hoffmann M, Krogmann ON, Rammos S, et al: Long-term results alter repair of total anomalous pulmonary venous connection. Thoracic Cardiovasc Surg 2001; (49): 101-106.
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