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Ann Thorac Surg 2000;69:S319-S331
© 2000 The Society of Thoracic Surgeons

Congenital Heart Surgery Nomenclature and Database Project: arrhythmias

Barbara J. Deal, MDa, Jeffrey P. Jacobs, MDb, Constantine Mavroudis, MDc

a Division of Pediatric Cardiology, Department of Pediatrics, Northwestern University Medical School, Children’s Memorial Hospital, Chicago, Illinois, USA
b Division of Thoracic and Cardiovascular Surgery, All Children’s Hospital, University of South Florida College of Medicine, St. Petersburg, Florida, USA
c Division of Cardiovascular-Thoracic Surgery, Department of Surgery, Northwestern University Medical School, Children’s Memorial Hospital, Chicago, Illinois, USA

Address reprint requests to Dr Deal, Division of Cardiology, Children’s Memorial Hospital, 2300 Children’s Plaza, Chicago, IL 60614

Presented at the International Nomenclature and Database Conferences for Pediatric Cardiac Surgery, 1998–1999.

Abstract

This discussion of arrhythmia terminology attempts to classify rhythm disorders for which surgical therapy may be necessary. The subject was debated and reviewed by members of the STS-Congenital Heart Surgery Database Committee and representatives from the European Association for Cardiothoracic Surgery, for the purpose of establishing a unified reporting system. Efforts were made to include all relevant nomenclature categories, using synonyms where appropriate. Extant surgical ablative procedures, detailed methods of pacemaker insertion, and AICD technology are discussed. A comprehensive database set is presented that is based on a hierarchical scheme. Data are entered at various levels of complexity and detail, which can be determined by the clinician. These data can lay the foundation for comprehensive risk stratification analyses. A minimum database set is also presented, which will allow for data sharing and will lend itself to basic interpretation of trends. Outcome tables relating diagnoses, procedures, and various risk factors are presented.






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