Cardiac arrhythmias in patients with surgical repair of Ebstein's anomaly

Jae Kuen Oh, David Holmes, D. L. Hayes, C. B. Porter, G. K. Danielson

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Abstract

Preoperative, perioperative and postoperative arrhythmias in 52 consecutive patients who underwent operation for Ebstein's anomaly were reviewed. There were 25 male and 27 female patients (mean age 18 years, range 11 months to 64 years). Thirty-four patients had one or more documented arrhythmias preoperatively (18 had paroxysmal supraventricular tachycardia, 10 had paroxysmal atrial fibrillation or flutter, 13 had ventricular arrhythmia and 3 had high grade atrioventricular block). Seven patients without documented arrhythmias had a history typical of tachyarrhythmias. During the perioperative and early postoperative periods, 14 patients had atrial tachyarrhythmias and 8 had ventricular tachycardia or ventricular fibrillation. There were seven deaths between day 1 and 27 months after operation. Five of these deaths were sudden (all in male patients, aged 12 to 34 years), and four of the patients had had perioperative ventricular tachycardia or ventricular fibrillation. One patient was taking one antiarrhythmic agent and another patient was taking two at the time of sudden death. Of the 18 patients with paroxysmal supraventricular tachycardia and 9 patients with paroxysmal atrial fibrillation or flutter preoperatively who were followed up for a mean of 40 and 36 months, respectively, 22 and 33% continued to have symptomatic tachycardia. Of the 11 patients (mean age 9 years) without preoperative documentation or symptoms of arrhythmia, follow-up data were obtained (range 1 to 144 months, mean 31) in 9 patients. None died suddenly or developed symptomatic arrhythmia.

Original languageEnglish (US)
Pages (from-to)1351-1357
Number of pages7
JournalJournal of the American College of Cardiology
Volume6
Issue number6
StatePublished - 1985

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Ebstein Anomaly
Cardiac Arrhythmias
Tachycardia
Paroxysmal Tachycardia
Atrial Flutter
Supraventricular Tachycardia
Ventricular Fibrillation
Ventricular Tachycardia
Sudden Death
Atrial Fibrillation
Atrioventricular Block
Proxy
Postoperative Period
Documentation

ASJC Scopus subject areas

  • Nursing(all)

Cite this

Cardiac arrhythmias in patients with surgical repair of Ebstein's anomaly. / Oh, Jae Kuen; Holmes, David; Hayes, D. L.; Porter, C. B.; Danielson, G. K.

In: Journal of the American College of Cardiology, Vol. 6, No. 6, 1985, p. 1351-1357.

Research output: Contribution to journalArticle

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