Routine Detection of Atrial Fibrillation/Flutter Predicts a Worse Outcome in a Cohort of Tetralogy of Fallot Patients During 23 Years of Follow-Up

Castilhos, Gabriela Machado de; Ley, Antonio Lessa Gaudie; Daudt, Nestor Santos; Horowitz, Estela Suzana Kleiman; Leiria, Tiago Luiz Luz

doi:10.1007/s00246-019-02106-2

Cited by 7 publications

(6 citation statements)

References 23 publications

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“…The severity of the patients with TF was directly related to the level of hypoxemia. More pronounced clinical picture of the disease was in patients with oxygen saturation less than 80%, which is consistent with the literature data [1,8,13]. In addition, the severity of patients after PCD (SPA) was more pronounced, which may be associated with early age (up to 3 months), critical condition (desaturation, residual high PG on the RV/PA, the presence of combined pathology, immunodeficiency, etc.…”

Section: Discussionsupporting

confidence: 91%

“…Complicating the clinical course of complications in the postoperative period are pleurisy and/or pericarditis, which develop due to heart failure and affect the function of the heart and lungs. Thus, a vicious circle is closed, leading to the prolongation of the stay of operated patients in the clinic [13,14,15,18].…”

Section: Introductionmentioning

confidence: 99%

“…Purulent-septic complications after TF correction are an actual problem of nursing operated patients at the hospital stage. The causes of septic complications are initial immunodeficiency and acute inflammatory response to operational stress [13,17].…”

Section: Introductionmentioning

confidence: 99%

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Complex assessment of complications in operated patients with Fallot's tetrad at the hospital stage

et al. 2019

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Fallo's tetrad -one of the most often found congenital heart disease. The relevance of a problem of complications after cardiac operations at the Fallo's tetrad remains acute for today. The analysis of results of expeditious treatment and complications will allow to solve problems of timely diagnostics, treatment and prevention of the reasons of an unsatisfactory clinical condition of patients at all stages of postoperative maintaining.Objective: Studying the structure of postoperative complications, determination of the causes of postoperative complications at a hospital stage at patients after a definitive and palliative repair of Fallo's tetrad definition of diagnostic and medical tactics in the postoperative period.Material and methods: The studied patients with Fallo's tetrad (126 children aged from 2 days till 9 years, from them boys -64, girls -62) were distributed on 2 main groups: after the definitive repair of defect (DRD) and after the palliative correction of defect (PCD). The complex assessment of postoperative complications at patients with TF was carried out with use of clinical-laboratory research methods.Results: Complications at a hospital stage arose in 38 (45.2%) cases from 84 (100%) patients after a definitive repair and in 17 (50%) cases from 34 (100%) -after palliative correction of Fallo's tetrad. The structure of complications after a definitive and palliative repair of defect is defined. The reasons and risk factors of development of postoperative complications after surgical correction of Fallo's tetrad are defined. Features of a clinical current of complications after a definitive and palliative repair of Fallo's tetrad are noted. Optimum tactics in treatment of postoperative complications at a hospital stage after a definitive and palliative repair of Fallo's tetrad is defined.

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Section: Discussionsupporting

confidence: 91%

Section: Introductionmentioning

confidence: 99%

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Complex assessment of complications in operated patients with Fallot's tetrad at the hospital stage

et al. 2019

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“…4 Other studies have demonstrated that AF and AFL are predictors of death and hospitalization. 9,11,13 AF is common in hospitalized patients with TOF 14 and is associated with a 4-fold increase in heart failure–related admissions. 6…”

Section: Atrial Tachyarrhythmias and Sinus Node Dysfunctionmentioning

confidence: 99%

“…3 The type of surgical repair, including ventriculotomy, transannular patch, or previous palliative shunt, does not appear to affect AF prevalence. 9,10 Multiple arrhythmia types in a single patient with TOF are common. In 1 study, ≈38% of patients had >1 type of arrhythmia 11 (Figure 1).…”

Section: Atrial Tachyarrhythmias and Sinus Node Dysfunctionmentioning

confidence: 99%

Arrhythmias in Repaired Tetralogy of Fallot: A Scientific Statement From the American Heart Association

Krieger¹,

Zeppenfeld²,

DeWitt³

et al. 2022

Circ: Arrhythmia and Electrophysiology

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Arrhythmia and sudden cardiac death remain common in repaired tetralogy of Fallot and affect even those with excellent anatomic repairs. Atrial arrhythmia often has mechanisms different from those in acquired heart disease. Ventricular arrhythmia remains a major source of mortality in repaired tetralogy of Fallot. Noninvasive risk stratification is important to identify patients who may benefit from ablation or primary prevention implantable cardioverter defibrillators. Multiple noninvasive risk factors are associated with ventricular arrhythmia, but no universally accepted risk stratification algorithm exists. The mechanism of ventricular arrhythmia is usually attributable to a consistent and discrete set of slowly conducting anatomic isthmuses related to both the native anatomy and the consequences of the surgical repair, which interact with ventricular remodeling to provide arrhythmic substrate. This substrate can be identified during electroanatomic mapping and prophylactically ablated in appropriate patients. This scientific statement discusses the mechanisms and treatment of arrhythmia in repaired tetralogy of Fallot.

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Burden and Impact of Arrhythmias in Repaired Tetralogy of Fallot

2022

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Routine Detection of Atrial Fibrillation/Flutter Predicts a Worse Outcome in a Cohort of Tetralogy of Fallot Patients During 23 Years of Follow-Up

Cited by 7 publications

References 23 publications

Complex assessment of complications in operated patients with Fallot's tetrad at the hospital stage

Complex assessment of complications in operated patients with Fallot's tetrad at the hospital stage

Arrhythmias in Repaired Tetralogy of Fallot: A Scientific Statement From the American Heart Association

Burden and Impact of Arrhythmias in Repaired Tetralogy of Fallot

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