Clinical follow-up study of paroxysmal supraventricular tachyarrhythmias after operative repair of a secundum type atrial septal defect in adults

Brandenburg, Robert O.; Holmes, David R.; McGoon, Dwight C.

doi:10.1016/s0002-9149(83)80048-4

Cited by 67 publications

(29 citation statements)

References 18 publications

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“…Other types of devices are used less frequently. 8- 21 The present study shows that implantation of the Amplatzer device does not cause substantial rhythm disorders, although it may lead to a transient increase in supraventricular arrhythmia.…”

Section: Discussionmentioning

confidence: 56%

Conduction Abnormality and Arrhythmia After Transcatheter Closure of Atrial Septal Defect

Komar

Przewłocki

Olszowska

et al. 2014

Circ J

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Section: Discussionmentioning

confidence: 56%

Conduction Abnormality and Arrhythmia After Transcatheter Closure of Atrial Septal Defect

Komar

Przewłocki

Olszowska

et al. 2014

Circ J

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“…As a non invasive marker, P-wave duration and PR interval are especially useful in predicting atrial arrhythmias [31][32][33][34]. Arrhythmias, particularly atrial fibrillation and flutter, are significant causes of morbidity among patients with ASD.…”

Section: Discussionmentioning

confidence: 99%

“…However, other studies demonstrated increased prevalence of atrial arrhythmias due to unknown causes after surgical ASD closure [36,37]. Gatzoulis et al [37] suggested that older age and mean PAP are risk factors for persistent atrial arrhythmias and the development of new atrial arrhythmias after surgical ASD closure [37].…”

Section: Discussionmentioning

confidence: 99%

Intermediate Outcome of Transcatheter Closure of Secundum Atrial Septal Defect on Cardiac Remodeling in Egyptian Children and Adults

Ammar¹,

Arab²,

Hammady³

et al. 2016

JCCR

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Background: Atrial septal defects (ASDs) are the second most common congenital lesion in adults. ASD closure is followed by symptomatic improvement and regression of pulmonary artery pressure (PAP), reduction in right heart volume overload and hence the prevalence of arrhythmias, thus quantification of the RV function is an important prognostic factor. Tissue Doppler and strain imaging are helpful tools for the assessment of RV systolic and diastolic function. Results:At the 1 year follow up of transcatheter ASD closure, the RVEDD had decreased from 22.93±5.889 mm to 18±4.06 mm(P=0.000), and the LVEDD had increased from 33.23±5.393 mm to 36.27±6.75 mm(P=0.001). Mean PAP decreased from 18.37±4.796 mmHg to 14.77±4.75 mmHg (P=0.022). RVSP decreased from 28.9±4.425 mmHg to 15.83±4.17 mmHg (P=0.000). Regarding electrocardiography, the P wave duration decreased from 107.13±19.62 ms to 77±14.18 ms (P=0.000) and the PR interval decreased from 177.97±21.932 ms to 160.33±26.06 ms (P=0.000).The QRS duration decreased from 134.40± 4.97 ms to a mean of 119.87±4.12 ms (P=0.000). All the patients had normal sinus rhythm before closure and no one developed arrhythmia until 1 year after closure. 50 % of the patients had normal RV size at the 1-year follow up. Tricuspid annular velocities, longitudinal strain, and strain rate measurement showed no significant difference as compared to normal values, which suggest improvement of the RV systolic and diastolic function after transcatheter closure. Conclusion:Transcatheter ASD closure leads to a significant improvement in heart cavity dimensions and RV function and reversal of electrical and mechanical changes. Novel parameters for assessment of RV function are promising and appear to be helpful for the assessment of RV function and its response to correction of volume

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“…Another factor affecting hemodynamics in this condition is increased heart rate, especially from atrial arrhythmias [17,18]. This can worsen the already existing shunt by decreasing ventricular diastolic filling times, increasing atrial pressures, and exaggerating the flow across the defect.…”

Section: Shunt Lesionsmentioning

confidence: 99%

Congenital heart disease in adults: Catheterization laboratory considerations

Fox

Bjornsen

Mahoney

et al. 2003

Cathet Cardio Intervent

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Congenital heart defects are the most common birth defects and represent an increasing proportion of adolescent and adult patients followed by cardiologists. While many of these patients have undergone successful palliative or corrective surgery with excellent functional results, most of them still require careful follow-up. Further, even complex lesions may first be diagnosed in adolescence and adulthood. Therefore, cardiologists caring for adults need to become more familiar with these defects. Assessment of the patient with known or suspected congenital heart defects requires a careful history, physical examination, and noninvasive assessment. In addition, the catheterization laboratory remains a critical venue for diagnosis and, increasingly, therapy. Pressure measurements, oximetry, and angiography remain cornerstones of diagnosis in selected patients and a variety of interventional procedures have become viable therapeutic alternatives in both pre- and postoperative patients.

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Clinical follow-up study of paroxysmal supraventricular tachyarrhythmias after operative repair of a secundum type atrial septal defect in adults

Cited by 67 publications

References 18 publications

Conduction Abnormality and Arrhythmia After Transcatheter Closure of Atrial Septal Defect

Conduction Abnormality and Arrhythmia After Transcatheter Closure of Atrial Septal Defect

Intermediate Outcome of Transcatheter Closure of Secundum Atrial Septal Defect on Cardiac Remodeling in Egyptian Children and Adults

Congenital heart disease in adults: Catheterization laboratory considerations

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