الفهرس | Only 14 pages are availabe for public view |
Abstract Early postoperative arrhythmias are a widely known complication of cardiothoracic surgery in both the adult and pediatrics. sometimes they are transient and manageable, they are considered a major cause of morbidity and mortality after cardiac surgery for congenital heart disease. These arrhythmias occur mostly in the early postoperative period when hemodynamic fluctuations are common, making the patient unstable and may lead to low cardiac output syndrome (LCOS) and cardiac arrest unless treated and resolved in a timely fashion. The aim of this study was to analysis the possible causes and risk factor for immediate arrhythmia after pediatric cardiac surgery and determine the outcome of patients following post cardiac surgery and its relation to the occurance of arrhythmias and prevention of arrhythmia after congenital cardiac surgery in pediatrics. Prospective observational cohort study of 24 pediatric patients who underwent cardiac operation with or without cardiopulmonary bypass(CPB). In this prospective cohort study 24 patients were enrolledmean age of patients was 4.39 years , mean body weight was 18.31kg, mean height was 96.29 cm, Regarding sex 54% were female and 45% were male. About operative data in our study, the mean total time of operation was 1.38 hour, mean CPB time was 48.64 min, mean ischemic time was 29 min. In our study incidence of early postoperative arrhythmias was 17.6% which is considered near to a previously reported studies. Arrhythmias in this study were occurred only after open heart surgery which agree with some previous study. Most common type of arrhythmia encountered in our study was JET 12.5%. |