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소아 선천성 심장병 개심술 후 발생한 조기 부정맥

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Affiliated Author(s)
김여향
Alternative Author(s)
Kim, Yeo Hyang
Journal Title
Korean Journal of Pediatrics
ISSN
1738-1061
Issued Date
2010
Keyword
Cardiac arrhythmiaOpen heart surgeryCongenital heart diseaseChild
Abstract
Purpose : Early postoperative arrhythmias are a major cause of mortality and morbidity after open heart surgery in the pediatric population. We evaluated the incidence and risk factors of early postoperative arrhythmias after surgery of congenital heart disease. Methods : From January 2002 to December 2008, we retrospectively reviewed the medical records of the 561 patients who underwent cardiac surgery in Kyungpook National University Hospital. We analyzed patients' age and weight, occurrence and type of arrhythmia, cardiopulmonary bypass (CPB) time, aortic cross clamp (ACC) time, and postoperative electrolyte levels. Results : Arrhythmias occurred in 42 of 578 (7.3%) cases of the pediatric cardiac surgery. The most common types of arrhythmia were junctional ectopic tachycardia (JET) and accelerated idioventricular rhythm (AIVR), which occurred in 17 and 13 cases, respectively. The arterial switch operation (ASO) of transposition of the great arteries (TGA) had the highest
incidence of arrhythmia (36.4%). Most cases of cardiac arrhythmia showed good response to management. Patients with early postoperative arrhythmias had significantly lower body weight, younger age, and prolonged CPB and ACC times (P <0.05) than patients without arrhythmia. Although the mean duration of ventilator care and intensive care unit stay were significantly longer (P <0.05), the mortality rate was not significantly different among the 2 groups. Conclusion : Early postoperative arrhythmias are a major complication after pediatric cardiac surgery; however, aggressive and immediate management can reduce mortality and morbidity.
Alternative Title
Early postoperative arrhythmias after open heart surgery of pediatric congenital heart disease
Department
Dept. of Pediatrics (소아청소년학)
Publisher
School of Medicine
Citation
최희정 et al. (2010). 소아 선천성 심장병 개심술 후 발생한 조기 부정맥. Korean Journal of Pediatrics, 53(4), 532–537. doi: 10.3345/kjp.2010.53.4.532
Type
Article
ISSN
1738-1061
DOI
10.3345/kjp.2010.53.4.532
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/36217
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Pediatrics (소아청소년학)
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