PMID: 8614781Jan 1, 1995Paper

Late sudden deaths after repair of tetralogy of Fallot. Electrocardiographic findings associated with survival

Scandinavian Journal of Thoracic and Cardiovascular Surgery
H JonssonR Jonasson

Abstract

Of 141 hospital survivors after intracardiac repair of tetralogy of Fallot, eight died suddenly 6-23 years later. Compared with the other 133 patients, these eight were older at operation, with higher post-repair systolic right ventricular pressure and more often complete atrioventricular block; ventricular arrhythmia was diagnosed before death in three cases. In follow-up totalling 2255 patient years, the linearized rate of sudden death was 0.35%/year. The instantaneous risk of sudden death showed continuous increase with the length of follow-up. Of 80 survivors electrocardiographically evaluated 13-26 (median 20) years postoperatively, none had complete block, but 79 had complete right bundle branch block, including seven with left anterior hemiblock. Ventricular extrasystoles were recorded in 1% at rest, in 34% during exercise and in 83% during 24-hour ambulatory monitoring, with Lown Grade > or = II in 27%. Old age and possibly presence of fibrosis and/or fibroelastosis in right ventricular outflow Lown Grade. A patient with Lown grade III died suddenly 2 years after our follow-up. Old age at repair thus was associated with increased risk of late sudden death and with frequent ventricular arrhythmia in long-term survivors.

References

Apr 1, 1979·The Journal of Endocrinology·J L VandalemG Hennen
Dec 1, 1977·British Heart Journal·J Marin-Garcia, J H Moller
Mar 11, 1990·The American Journal of Cardiology·J S ChandarM Dick
Feb 1, 1991·International Journal of Cardiology·J E Deanfield
Aug 1, 1990·The American Journal of Cardiology·G VaksmannJ C Fouron
Jan 1, 1989·Pediatric Radiology·J C Egelhoff, E C Beatty
Dec 1, 1987·Postgraduate Medical Journal·P H Smith, T G Armitage
Apr 1, 1985·Clinical Physiology·I NordenfeltS Olsson
Jul 1, 1985·Journal of the American College of Cardiology·A GarsonD G McNamara
Oct 1, 1974·Computer Programs in Biomedicine·E T Lee
Aug 1, 1984·Journal of the American College of Cardiology·R J BurnsP R McLaughlin
Mar 1, 1983·Circulation·J E DeanfieldK A Hallidie-Smith
Feb 1, 1982·Circulation·N M KatzL M Bargeron
Dec 1, 1982·European Heart Journal·P Bjerregaard
Apr 1, 1980·The Journal of Allergy and Clinical Immunology·S R Hirsch, J H Kalbfleisch
Dec 1, 1980·The American Journal of Cardiology·A GarsonD G McNamara
Jan 1, 1994·Journal of the American Society of Echocardiography : Official Publication of the American Society of Echocardiography·H Feigenbaum

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Citations

Jun 1, 2001·The Annals of Thoracic Surgery·C D FraserD A Cooley
Nov 13, 2002·Journal of the American College of Cardiology·Akash GhaiJudith Therrien
Apr 30, 2008·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·Klaus K WitteMichael E Blackburn
Jul 7, 2011·Heart Views : the Official Journal of the Gulf Heart Association·Rafid Fayadh Al-AqeediWaleed Khalid Abdullatef
Mar 26, 2003·Seminars in Thoracic and Cardiovascular Surgery·Ismail A Sallam
Jul 22, 2014·Heart Rhythm : the Official Journal of the Heart Rhythm Society·Edward P Walsh
Jan 15, 2014·International Journal of Cardiology·Timothy CottsUNKNOWN Alliance for Adult Research in Congenital Cardiology (AARCC)
Feb 7, 2009·Journal of the American College of Cardiology·Anji T Yetman, Thomas Graham
Jan 31, 2007·Circulation·Edward P Walsh, Frank Cecchin
Feb 24, 2005·Journal of Cardiac Surgery·Hasan Basri ErdoğanCevat Yakut
Jul 11, 2009·Expert Review of Cardiovascular Therapy·Paul KhairyLise-Andrée Mercier
Dec 4, 2009·Expert Review of Cardiovascular Therapy·Sing-Chien Yap, Louise Harris
Dec 27, 2005·Expert Review of Cardiovascular Therapy·Paul KhairyLise-Andrée Mercier
Sep 15, 1999·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·M A NørgaardG Pettersson

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