Erkut ÖZTÜRK, Hasan Candaş KAFALI, İbrahim CANSARAN TANIDIR, Gülhan Tunca ŞAHİN, İsmihan Selen ONAN, Sertaç HAYDİN, Alper GÜZELTAŞ, Yakup ERGÜL

Early postoperative arrhythmias in patients undergoing congenital heart surgery

Background: This study aims to evaluate early postoperative arrhythmias in children undergoing congenital cardiac surgery. Methods: A total of 670 pediatric patients (355 males, 315 females; median age: 4 months; range, 1 day to 18 years) who underwent cardiac surgery due to congenital heart defects between December 2018 and November 2019 were included. The rate of postoperative arrhythmias, diagnosis, potential risk factors, and management strategies were evaluated. Multivariate regression analysis was used to identify significant factors of development of postoperative arrhythmias. Results: Tachyarrhythmia was detected in 54 patients (8.1%), and the most common tachyarrhythmia was junctional ectopic tachycardia. Medical treatment was required in 25/38 (66%) of junctional ectopic tachycardia patients. Amiodarone was initiated in 18, dexmedetomidine in five, and flecainide + amiodarone in two of the patients. Different degrees of atrioventricular block were observed in 30 patients (4.5%). In 12 patients, permanent pacemakers were implanted during hospitalization. Age at the time of surgery under one-year-old, high inotropic scores, prolonged operation time, and high Aristotele’s scores were independent risk factors associated with early postoperative arrhythmia (p

Doğumsal kalp cerrahisi yapılan hastalarda ameliyat sonrası erken dönem aritmiler

Amaç: Bu çalışmada, doğumsal kalp cerrahisi yapılan çocuklarda ameliyat sonrası erken dönemdeki aritmiler değerlendirildi. Çalışma planı: Aralık 2018-Kasım 2019 tarihleri arasında doğumsal kalp defektleri nedeniyle kalp cerrahisi yapılan toplam 670 pediatrik hasta (355 erkek, 315 kız; medyan yaş: 4 ay; dağılım, 1 gün ila 18 yıl) çalışmaya alındı. Ameliyat sonrası aritmilerin oranı, tanısı, muhtemel risk faktörleri ve tedavi stratejileri değerlendirildi. Ameliyat sonrası aritmi gelişiminin anlamlı faktörlerini tespit etmek için çok değişkenli regresyon analizi kullanıldı. Bulgular: Elli dört hastada (%8.1) taşiaritmi saptanmış olup, en sık gözlenen aritmi junctional ektopik taşikardi idi. Junctional ektopik taşikardi hastalarının 25/38’inde (%66) medikal tedavi gerekti. Hastaların 18’ine amiodaron, beşine deksmedetomidin ve ikisine flekainid + amiodaron başlandı. Otuz hastada (%4.5) değişik derecelerde atriyoventriküler blok gözlendi. On iki hastaya hastane yatışı sırasında kalıcı kalp pili takıldı. Ameliyat sırasında 1 yaş altı olmak, yüksek inotrop skoru, uzun ameliyat süresi ve yüksek Aristotole skorları ameliyat sonrası erken dönemde aritminin bağımsız risk faktörleri idi (p

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