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PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
2
pubmed:dateCreated
2004-6-30
pubmed:abstractText
To determine the incidence of dysrhythmias following repair of isolated secundum atrial septal defect, postoperative electrocardiograms were reviewed in 292 patients. The PR interval was shortened by the 7th postoperative day (p <.05) as compared to the preoperative PR interval. Sinus rhythm only was observed in 228/292 (78%). Nine patients (3%) had a preoperative dysrhythmia. A postoperative dysrhythmia was observed in 64/292 (22%). Twenty-two (7.5%) had symptomatic postoperative dysrhythmias. A tachydysrhythmia was found in 16/64 (25%) of these. The latest occurrence of symptomatic dysrhythmia was 17 years after surgery. Currently, 7/292 (2.4%) of the patients reviewed have a pacemaker. Five of 292 (1.7%) had Holt-Oram syndrome. All five patients with Holt-Oram syndrome had postoperative dysrhythmias; two patients were symptomatic. Serious dysrhythmias may present years after repair of an atrial septal defect. Patients with Holt-Oram syndrome are at greater risk for development of postoperative dysrhythmias.
pubmed:commentsCorrections
pubmed:language
eng
pubmed:journal
pubmed:status
PubMed-not-MEDLINE
pubmed:month
Jun
pubmed:issn
0730-2347
pubmed:author
pubmed:issnType
Print
pubmed:volume
13
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
203-8
pubmed:dateRevised
2009-11-18
pubmed:year
1986
pubmed:articleTitle
Dysrhythmias after repair of atrial septal defect.
pubmed:affiliation
Lillie Frank Abercrombie Section of Cardiology, Department of Pediatrics, Baylor College of Medicine and Texas Children's Hospital, Houston, Texas 77030, USA.
pubmed:publicationType
Journal Article