Junctional ectopic tachycardia after infant heart surgery: incidence and outcomes.

Pediatric Cardiology
Jeffrey D ZampiJohn R Charpie

Abstract

Junctional ectopic tachycardia (JET) is an arrhythmia observed almost exclusively after open heart surgery in children. Current literature on JET has not focused on patients at the highest risk of both developing and being negatively impacted by JET. The purpose of this study was to determine the overall incidence of JET in an infant patient cohort undergoing open cardiac surgery, to identify patient- and procedure-related factors associated with developing JET, and to assess the clinical impact of JET on patient outcomes. We performed a nested case-control study from the complete cohort of patients at our institution younger than 1 year of age who underwent open heart surgery between 2005 and 2010. JET patients were compared with an age matched control group undergoing open heart surgery without JET regarding potential risk factors and outcomes. The overall incidence of JET in infants after open cardiac surgery was 14.3 %. From multivariate analyses, complete repair of tetralogy of Fallot [adjusted odds ratio (AOR) 2.0, 95 % CI 1.12-3.57] and longer aortic cross clamp times (AOR 1.02, 95 % CI 1.01-1.03) increased the risk of developing JET. Patients with JET had longer length of intubation, intensive care unit stays, and total...Continue Reading

References

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Citations

Aug 21, 2013·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Alessandra ReichlinChristian Balmer
Dec 19, 2016·Cardiology in the Young·Neha BansalChenni S Sriram
Oct 16, 2015·World Journal for Pediatric & Congenital Heart Surgery·Marissa A BrunettiJ William Gaynor
Dec 1, 2017·World Journal for Pediatric & Congenital Heart Surgery·Gregory Webster
Dec 1, 2017·World Journal for Pediatric & Congenital Heart Surgery·Joel Kian Boon LimJan Hau Lee
Apr 25, 2018·Circulation·Bradley S MarinoUNKNOWN American Heart Association Congenital Cardiac Defects Committee of the Council on Cardiovascular Disease in the Young; Counc
Aug 5, 2016·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Andrew H Smith
Sep 10, 2019·Frontiers in Pediatrics·Peter Paul Roeleveld, Malaika Mendonca
Feb 20, 2020·Journal of Arrhythmia·Ranjit I Kylat, Ricardo A Samson
Feb 26, 2019·World Journal for Pediatric & Congenital Heart Surgery·Corinna PaluszekLale Hakami
Dec 12, 2018·Heart Rhythm : the Official Journal of the Heart Rhythm Society·Sarah R FuchsPrince J Kannankeril

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