Ana1ysis of congenita1 heart disease interventiona1 therapy re1ated arrhythmias
10.3969/j.issn.1004-8812.2016.03.004
- VernacularTitle:先天性心脏病介入治疗术相关心律失常的分析
- Author:
Tuo JI
;
Hailian CHEN
;
Lingning WU
;
Xiaoke SHANG
- Publication Type:Journal Article
- Keywords:
Congenital heart disease;
Interventional therapy;
Arrhythmias
- From:
Chinese Journal of Interventional Cardiology
2016;24(3):142-144
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the occurrence and prognosis of congenital heart disease interventional therapy related arrhythmias, and to discuss the prevention and treatment. Methods We retrospectively analyzed the occurrence and prognosis of congenital heart disease interventional therapy related arrhythmias among a total of 223 cases admitted for in terventional therapy between February 2014 to January 2015. Resu1ts 8 cases developed different degree and nature of arrhythmias after the interventional therapy. Among these cases, 3 of them had arrhythmias after ASD occlusion, including one was frequent atrial contraction, one was paroxysmal atrial tachycardia, and one was sinus bradycardia with accelerated junctional rhythm. All of them converted back to sinus rhythmm spontaneously from 2-3 hours to maximum 1 week after operation. 4 cases had arrhythmias after VSD occlusion, including one case of ventricular tachycardia, one case of Ⅰ° degree atrioventricular block who recovered spontaneously after surgery, one case of Ⅲ° degree atrioventricular block and one case of intermittent complete left bundle branch block who retruned to sinus rhythmn after 1 week of symptomatic treatment. One case had ventricular fibrillation after pulmonary valve balloon dilatation and was treated by defibrillation and temperany pacing to convent to sinus. Conc1usions Arrhythmias is a common complication of congenital heart disease after interventional therapy, and most of them are temporary and transient changes. However, once serious arrhythmias happened, the success rate of surgery and postoperative curative effect can be directly effected, or may even lead to mortality.
