Back to Search
Start Over
Arrhythmia during diagnostic cardiac catheterization in pediatric patients with congenital heart disease
- Source :
- Türk Kardiyoloji Derneği Arşivi, Vol 46, Iss 8, Pp 675-682 (2018)
- Publication Year :
- 2018
- Publisher :
- KARE Publishing, 2018.
-
Abstract
- Objective: Diagnostic and interventional cardiac catheterization procedures for congenital heart diseases (CHD) are becoming increasingly more popular, and arrhythmia is a well-known complication. This study was an evaluation of the incidence and causative agents of arrhythmia and the subsequent treatment strategies applied during cardiac catheterization. Methods: The catheterization data of all of the patients who underwent diagnostic cardiac catheterization for CHD between January 2012 and 2018 at a single center were examined retrospectively. Results: A total of 1316 children underwent diagnostic cardiac catheterization due to CHD. The median age and body weight was 18 months (6 days-21 years) and 9.9 kg (2.2–135 kg), respectively. Patients with ventricular septal defect (281 patients) and those with tetralogy of Fallot (257 patients) represented 2 major groups in the study population. In 93 (7%) patients, arrhythmia developed during cardiac catheterization. Among them, there were 58 (62%) cases of bradyarrhythmia and 35 (38%) cases of tachyarrhythmia. Arrhythmia was classified as low, high, or major, according to the adverse event severity score; the rates were 2.7%, 4.3%, and 1.2%, respectively. In 36 (39%) patients, there was no need for therapy, whereas 57 (61%) required treatment to eliminate the arrhythmia. Treatment modalities included catheter manipulation in 15, pharmacological therapy in 24, and cardioversion in 3 patients. Eleven patients required cardiopulmonary resuscitation. Temporary pacemaker implantation was required in 2 patients, while 2 others underwent permanent pacemaker implantation secondary to catheterization-related arrhythmia. There were no cases of mortality secondary to catheterization-related arrhythmia. Conclusion: Diagnostic cardiac catheterization in CHD may result in various types of cardiac arrhythmias. The proper management of arrhythmias may reduce morbidity and mortality related to cardiac catheterization.
Details
- Language :
- English, Turkish
- ISSN :
- 10165169
- Volume :
- 46
- Issue :
- 8
- Database :
- Directory of Open Access Journals
- Journal :
- Türk Kardiyoloji Derneği Arşivi
- Publication Type :
- Academic Journal
- Accession number :
- edsdoj.1ecfff2958e4607883abc8c5cdeb72d
- Document Type :
- article
- Full Text :
- https://doi.org/10.5543/tkda.2018.06025