Abstract:
:This study presents follow-up data on 95 patients with transposition of the great arteries who underwent a Mustard intraatrial baffle operation. The patients were followed up serially by means of scalar electrocardiograms and 24 hour Holter monitoring studies. The latter study was effective in documenting abnormal rhythm patterns when the standard electrocardiogram was within normal limits. Twenty percent of the patients had atrial arrhythmias at the time of hospital discharge. new rhythm disturbances were recognized during each year of follow-up; 75% of the patients had atrial rhythm disorders by the sixth year. Slow junctional rhythm was the most common rhythm disturbance found. Complete heart block did not occur. Supraventricular tachycardia occurred within the context of the tachycardia/bradycardia syndrome in 8 of 10 patients, and in all it was documented after hospital discharge. The incidence of sudden death in this series was 3%. Six of the patients have had pacemaker insertions and there have been no deaths among these individuals. It was observed that the slow atrial or junctional rhythms that appeared after intraatrial correction of transposition of the great arteries rarely progressed to life-threatening rhythm disorders in childhood or adolescence, but the prognosis in adult life remains unknown. The three deaths in the series occurred in patients with a history of supraventricular tachyarrhythmias. Elimination of arrhythmias caused by extensive intraatrial surgery is one of the potential advantages of the arterial switch operation for correction of transposition of the great arteries.
journal_name
J Am Coll Cardioljournal_title
Journal of the American College of Cardiologyauthors
Hayes CJ,Gersony WMdoi
10.1016/s0735-1097(86)80270-4subject
Has Abstractpub_date
1986-01-01 00:00:00pages
133-7issue
1eissn
0735-1097issn
1558-3597pii
S0735-1097(86)80270-4journal_volume
7pub_type
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journal_title:Journal of the American College of Cardiology
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doi:10.1016/0735-1097(88)90181-7
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doi:10.1016/s0735-1097(10)80351-1
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更新日期:2003-05-07 00:00:00
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更新日期:2006-08-01 00:00:00
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更新日期:2006-01-03 00:00:00
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更新日期:2008-10-28 00:00:00
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更新日期:1993-11-01 00:00:00
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journal_title:Journal of the American College of Cardiology
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更新日期:2016-05-17 00:00:00
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pub_type: 临床试验,杂志文章,随机对照试验
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更新日期:1999-01-01 00:00:00
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更新日期:1994-06-01 00:00:00
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journal_title:Journal of the American College of Cardiology
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更新日期:2007-09-04 00:00:00
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更新日期:2007-06-19 00:00:00
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journal_title:Journal of the American College of Cardiology
pub_type: 杂志文章,多中心研究
doi:10.1016/j.jacc.2012.08.993
更新日期:2012-12-04 00:00:00
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journal_title:Journal of the American College of Cardiology
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更新日期:1995-11-01 00:00:00
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更新日期:2005-06-07 00:00:00