Switch to
| Predicate | Object |
|---|---|
| rdf:type | |
| lifeskim:mentions | |
| pubmed:issue |
10
|
| pubmed:dateCreated |
1995-10-27
|
| pubmed:abstractText |
To evaluate whether transcatheter closure of secundum atrial septal defects (ASD) affected noninvasive electrophysiologic variables in children, we reviewed the pre-procedural and 1-year postprocedural electrocardiograms and Holter recordings of 18 consecutive children referred for ASD closure. Patients included in the study were a mean of 5.0 years old (SD 1.1) and weighed a mean of 17.9 kg (SD 4.1). ASDs had a mean diameter of 14.0 mm (SD 2.4) and average shunt ratio (pulmonary-to-systemic flow) of 2.1:1. One year after occluder device placement, 9 children (50%) had detectable residual shunts by transthoracic echocardiograms, but only 2 (11%) had shunts that were felt to be possibly significant. One or more fractured occluder legs were noted by chest roentgenogram in 15 patients (83%). Electrocardiograms at follow-up demonstrated improvement in right ventricular dilation in 4 of 7 patients, right atrial enlargement in 3 of 4 patients, and 1 degree atrioventricular block in 2 of 3 patients. Holter recordings showed a decreased incidence of accelerated atrial rhythm in 3 of 7 patients, prolonged junctional escape rhythm in 2 of 2 patients, and premature atrial contractions in 2 of 2 patients. No finding correlated with patient age, defect or occluder diameter, occluder leg fracture(s), or residual defects. These improvements in electrophysiologic abnormalities compare favorably with changes seen 1 year after surgical closure. In conclusion, placement of a transcatheter ASD device in children diminishes noninvasive electrophysiologic abnormalities at 1-year follow-up. By relieving hemodynamic stress caused by an ASD in childhood, a transcatheter device may prevent arrhythmia disturbance later in life.
|
| pubmed:language |
eng
|
| pubmed:journal | |
| pubmed:citationSubset |
AIM
|
| pubmed:status |
MEDLINE
|
| pubmed:month |
Oct
|
| pubmed:issn |
0002-9149
|
| pubmed:author | |
| pubmed:issnType |
Print
|
| pubmed:day |
1
|
| pubmed:volume |
76
|
| pubmed:owner |
NLM
|
| pubmed:authorsComplete |
Y
|
| pubmed:pagination |
695-8
|
| pubmed:dateRevised |
2004-11-17
|
| pubmed:meshHeading |
pubmed-meshheading:7572627-Chi-Square Distribution,
pubmed-meshheading:7572627-Child,
pubmed-meshheading:7572627-Child, Preschool,
pubmed-meshheading:7572627-Electrocardiography,
pubmed-meshheading:7572627-Electrocardiography, Ambulatory,
pubmed-meshheading:7572627-Electrophysiology,
pubmed-meshheading:7572627-Female,
pubmed-meshheading:7572627-Follow-Up Studies,
pubmed-meshheading:7572627-Heart Catheterization,
pubmed-meshheading:7572627-Heart Septal Defects, Atrial,
pubmed-meshheading:7572627-Humans,
pubmed-meshheading:7572627-Male,
pubmed-meshheading:7572627-Prostheses and Implants
|
| pubmed:year |
1995
|
| pubmed:articleTitle |
Improvement in noninvasive electrophysiologic findings in children after transcatheter atrial septal defect closure.
|
| pubmed:affiliation |
Department of Pediatric Cardiology, Cleveland Clinic Foundation, Ohio 44195, USA.
|
| pubmed:publicationType |
Journal Article
|