Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2017 Dec 5;5(7):940-944.
doi: 10.3889/oamjms.2017.177. eCollection 2017 Dec 15.

The Prevalence and Risk Factors of Early Arrhythmias Following Pediatric Open Heart Surgery in Egyptian Children

Tarek Ahmed Abdel Gawad  1 , Waleed Mohamed Elguindy  1 , Omneya Ibrahim Youssef  1 , Tamer Ashraf Abosalem  2
Affiliations

The Prevalence and Risk Factors of Early Arrhythmias Following Pediatric Open Heart Surgery in Egyptian Children

Tarek Ahmed Abdel Gawad et al. Open Access Maced J Med Sci. .

Abstract

Aim: This study aimed to assess the prevalence of early postoperative arrhythmias after cardiac operation in the pediatric population, and to analyse possible risk factors.

Material and methods: Cross-sectional study included 30 postoperative patients, with age range four up to 144 months. They were selected from those admitted to the Cardiology Unit in the Pediatric department of Ain Shams University hospitals, after undergoing cardiopulmonary bypass (CPB) surgery for correction of congenital cardiac defects. All patients had preoperative sinus rhythm and normal preoperative electrolytes levels. All patients' records about age, weight, type of surgery, intraoperative arrhythmias, cardiopulmonary bypass time, ischemic time and use of inotropic drugs were taken before they were admitted to the specialised pediatric post-surgery intensive care unit (ICU).

Results: Arrhythmia was documented in 15 out of 30 patients (50%). Statistically significant difference between the arrhythmic and non-arrhythmic group were recorded in relation to the age of operation (23 vs 33 months), weight (12 vs. 17 kg), ischemic time (74.5 vs. 54 min), cardiopulmonary bypass time (125.5 vs. 93.5min), inotrope use (1.6 vs. 1.16) and postoperative ICU stay (5.8 vs. 2.7 days), P<0.05.

Conclusion: Early postoperative arrhythmias following surgery for congenital heart disease are relatively frequent in children (50%). Younger age, lower body weight, longer ischemic time and bypass time, and more inotrope use are all risk factors for postoperative arrhythmias and lead to increase the hospital stay.

Keywords: Cardiac surgery; Children; Postoperative arrhythmias; inotropic drugs.

PubMed Disclaimer

References

    1. Delaney JW, Moltedo JM, Dziura JD, Kopf GS, Snyder CS. Early postoperative arrhythmias after pediatric cardiac surgery. The Journal of thoracic and cardiovascular surgery. 2006;131(6):1296–300. https://doi.org/10.1016/j.jtcvs.2006.02.010 PMid:16733160. - PubMed
    1. Batra AS, Balaji S. Post operative temporary epicardial pacing:When, how and why? Annals of pediatric cardiology. 2008;1(2):120. https://doi.org/10.4103/0974-2069.43877 PMid:20300253 PMCid:PMC2840753. - PMC - PubMed
    1. Krongrad E. Postoperative arrhythmias in patients with congenital heart disease. Chest. 1984;85:107–13. https://doi.org/10.1378/chest.85.1.107 PMid:6360568. - PubMed
    1. Lan YT, Lee JC, Wetzel G. Postoperative arrhythmia. Current opinion in cardiology. 2003;18(2):73–8. https://doi.org/10.1097/00001573-200303000-00001. - PubMed
    1. Hoffman TM, Wernovsky G, Wieand TS, Cohen MI, Jennings AC, Vetter VL, et al. The incidence of arrhythmias in a pediatric cardiac intensive care unit. Pediatric Cardiology. 2002;23(6):598–604. https://doi.org/10.1007/s00246-001-0079-y PMid:12530491. - PubMed

LinkOut - more resources