Arrhythmias in children with a single ventricle
Aim. The paper presents prevalence and disturbances of cardiac rhythm and conduction in children with a single ventricle (SV) at different stages of hemodynamic defect correction. It also analyzes risk factors of arrhythmia.Materials and methods. A total of 70 patients with SV was performed all stag...
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Siberian State Medical University (Tomsk)
2018-07-01
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| Series: | Бюллетень сибирской медицины |
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| Online Access: | https://bulletin.ssmu.ru/jour/article/view/1204 |
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| author | I. V. Plotnikova O. Yu. Dzhaffarova L. I. Svintsova V. V. Saushkin I. A. Kovalev |
| author_facet | I. V. Plotnikova O. Yu. Dzhaffarova L. I. Svintsova V. V. Saushkin I. A. Kovalev |
| author_sort | I. V. Plotnikova |
| collection | DOAJ |
| description | Aim. The paper presents prevalence and disturbances of cardiac rhythm and conduction in children with a single ventricle (SV) at different stages of hemodynamic defect correction. It also analyzes risk factors of arrhythmia.Materials and methods. A total of 70 patients with SV was performed all stages of hemodynamic correction of defect. To assess disorders of rhythm and conduction, echocardiography, pulseoxymetry, cardiac catheterization, pulmonary angiography, ECG, and Holter monitoring were performed before and after surgery on all children at every stage of hemodynamic correction.Results. Absence of heart rhythm disturbances (HRD) at 1st stage of hemodynamic correction was 98.1%, at 2nd – 80%, at 3rd – 48.6% and at 4th – 41.5%. Sinus node dysfunction is the most often HRD from the second stage of hemodynamic correction. Statistical analysis showed significant decrease of saturation ((73 ± 12) и (81 ± 4)% correspondingly, p < 0.05) and increase of average pressure in the pulmonary artery after TCPC ((9.6 ± 4.2) and (11.5 ± 5.8)% correspondingly, p < 0.05) in children with heart rhythm disturbances in comparison to children without arrhythmias. The average age of children with arrhythmias after TCPC and after fenestration closure, correspondingly, was significantly higher than in the group of children without arrhythmias ((72 ± 43) mon and (52 ± 27) mon correspondingly, p < 0.05). Studies of arrhythmias in children with SV require follow-up as they significantly influence on the disease and life quality. |
| format | Article |
| id | doaj-art-d01dbcbc8943437daaa140cf9f76d6fc |
| institution | Kabale University |
| issn | 1682-0363 1819-3684 |
| language | English |
| publishDate | 2018-07-01 |
| publisher | Siberian State Medical University (Tomsk) |
| record_format | Article |
| series | Бюллетень сибирской медицины |
| spelling | doaj-art-d01dbcbc8943437daaa140cf9f76d6fc2025-08-20T04:00:12ZengSiberian State Medical University (Tomsk)Бюллетень сибирской медицины1682-03631819-36842018-07-01172607010.20538/1682-0363-2018-2-60-70790Arrhythmias in children with a single ventricleI. V. Plotnikova0O. Yu. Dzhaffarova1L. I. Svintsova2V. V. Saushkin3I. A. Kovalev4Research Institute Cardiology, Tomsk National Research Medical Center (TNRMC) of Russian Academy of Sciences (RAS)Research Institute Cardiology, Tomsk National Research Medical Center (TNRMC) of Russian Academy of Sciences (RAS)Research Institute Cardiology, Tomsk National Research Medical Center (TNRMC) of Russian Academy of Sciences (RAS)Research Institute Cardiology, Tomsk National Research Medical Center (TNRMC) of Russian Academy of Sciences (RAS)Research and Clinical Institute for PediatricsAim. The paper presents prevalence and disturbances of cardiac rhythm and conduction in children with a single ventricle (SV) at different stages of hemodynamic defect correction. It also analyzes risk factors of arrhythmia.Materials and methods. A total of 70 patients with SV was performed all stages of hemodynamic correction of defect. To assess disorders of rhythm and conduction, echocardiography, pulseoxymetry, cardiac catheterization, pulmonary angiography, ECG, and Holter monitoring were performed before and after surgery on all children at every stage of hemodynamic correction.Results. Absence of heart rhythm disturbances (HRD) at 1st stage of hemodynamic correction was 98.1%, at 2nd – 80%, at 3rd – 48.6% and at 4th – 41.5%. Sinus node dysfunction is the most often HRD from the second stage of hemodynamic correction. Statistical analysis showed significant decrease of saturation ((73 ± 12) и (81 ± 4)% correspondingly, p < 0.05) and increase of average pressure in the pulmonary artery after TCPC ((9.6 ± 4.2) and (11.5 ± 5.8)% correspondingly, p < 0.05) in children with heart rhythm disturbances in comparison to children without arrhythmias. The average age of children with arrhythmias after TCPC and after fenestration closure, correspondingly, was significantly higher than in the group of children without arrhythmias ((72 ± 43) mon and (52 ± 27) mon correspondingly, p < 0.05). Studies of arrhythmias in children with SV require follow-up as they significantly influence on the disease and life quality.https://bulletin.ssmu.ru/jour/article/view/1204postoperative arrhythmiaschildrensingle ventriclestages of hemodynamic correction of congenital heart diseases |
| spellingShingle | I. V. Plotnikova O. Yu. Dzhaffarova L. I. Svintsova V. V. Saushkin I. A. Kovalev Arrhythmias in children with a single ventricle Бюллетень сибирской медицины postoperative arrhythmias children single ventricle stages of hemodynamic correction of congenital heart diseases |
| title | Arrhythmias in children with a single ventricle |
| title_full | Arrhythmias in children with a single ventricle |
| title_fullStr | Arrhythmias in children with a single ventricle |
| title_full_unstemmed | Arrhythmias in children with a single ventricle |
| title_short | Arrhythmias in children with a single ventricle |
| title_sort | arrhythmias in children with a single ventricle |
| topic | postoperative arrhythmias children single ventricle stages of hemodynamic correction of congenital heart diseases |
| url | https://bulletin.ssmu.ru/jour/article/view/1204 |
| work_keys_str_mv | AT ivplotnikova arrhythmiasinchildrenwithasingleventricle AT oyudzhaffarova arrhythmiasinchildrenwithasingleventricle AT lisvintsova arrhythmiasinchildrenwithasingleventricle AT vvsaushkin arrhythmiasinchildrenwithasingleventricle AT iakovalev arrhythmiasinchildrenwithasingleventricle |