The incidence of arrhythmias in congenital heart patients and the response rate to antiarrhythmic treatment in patients referred to Shahid Rajaie Hospital between 1998 to 2018

Publish Year: 1397
نوع سند: مقاله کنفرانسی
زبان: English
View: 395

نسخه کامل این Paper ارائه نشده است و در دسترس نمی باشد

  • Certificate
  • من نویسنده این مقاله هستم

استخراج به نرم افزارهای پژوهشی:

لینک ثابت به این Paper:

شناسه ملی سند علمی:

AMSMED19_080

تاریخ نمایه سازی: 1 دی 1397

Abstract:

Background and Objective: Congenital heart disease in adults can be associated with several complications, one of the most important of these complications is cardiac arrhythmias. Accordingly, we decided to study the incidence of arrhythmias in congenital heart patients and the response rate to antiarrhythmic in patients referred to Shahid Rajaee Hospital between 1998 to 2018.Materials and Methods: In this analytical cross-sectional study, 110 patients with congenital heart disease referred to Shahid Rajaee Hospital between 1998 to 2018 were selected and included in the study. Exclusion criteria were the inability to examine patients for arrhythmias due to defects in the patient s document or the uncertain outcome of the antiarrhythmic treatments that has been done.The incidence of arrhythmias were determined in them based on the ECG. Also,the type of treatment and the response rate to the treatment were studied too. Data were collected in the checklist.We analyzed them by SPSS v.20 using Chi-square and Fisher test, independent t-test and logistic regression. Quantitative findings were reported as mean and standard deviation.Findings: In this study, the mean age of patients was 33.73 ± 13.15 years. Among patients, 59(53.6%) cases were male and 51(46.4%) were female. Three of the most common symptoms were palpation in 53(48.2%) cases, dyspnea in 27(24.5%), and vertigo in 16(14.5%) cases And the least symptoms were chest pain, which was seen in 14(12.8%).The most common type of arrhythmias was AFL(35.5%), followed by AF(28.2%) and CHB(19.1%) respectively.The most common type of treatment used for patients was electrical cardioversion (32.7%),pace(23.6%),and drug cardioversion(22.7%)respectively.The response rate was 94.5% Returning to sinus rhythm,3.6% continued arrhythmias and 1.8% turned into other arrhythmi.Based on the duration of postoperative arrhythmias in patients, the highest frequency was observed for 10 years after surgery, which was observed in 49(44.5%) patients, and for one day after surgery in 18(16.4%) and one week after surgery in 12(10.9%) cases.The association of arrhythmias with treatments for patients in terms of palliative status was investigated,which was not statistically significant (p=0.774) but the association of arrhythmias with treatments for patients in terms of repaired was statistically significant(p=0.0001). There is a significant relationship between arrhythmias with QRS duration(p=0.0001) and also between arrhythmias with RV aneurysm and cyanotic disease (p<0.05). Conclusion:The current study provides an example of the frequency, diagnosis and treatment of arrhythmia in patients with congenital heart failure.In this study we mainly focused on arrhythmias in adults with congenital heart disease. The most common type of arrhythmias was AFL followed by AF and CHB.Also, the most common type of treatment used for patients was electrical cardioversion.According to our study however, the majority of CHD treated with surgical or interventional therapy and most of patients returned to normal rhythm, but it is not yet known how arrhythmias occur in patients with congenital heart disease.

Authors

Moein Torkaman

Student Research Committee, school of medicine, Iran University of Medical Sciences, Tehran, Iran.

Mina Jamlou

Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran.

Zahra Khajeh Ali

Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran.

Javad Balasi

Student Research Committee, school of medicine, Iran University of Medical Sciences, Tehran, Iran.