| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
Ann Thorac Surg 2002;74:1607-1611
© 2002 The Society of Thoracic Surgeons
a Division of Cardiology, The Cardiac Center at The Children’s Hospital of Philadelphia, and the University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania, USA
b Division of Cardiothoracic Surgery, The Cardiac Center at The Children’s Hospital of Philadelphia, and the University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania, USA
Accepted for publication July 12, 2002.
* Address reprint requests to Dr Hoffman, Columbus Children’s Hospital, Division of Cardiology, Room 628ED, 700 Children’s Dr, Columbus, OH 43205, USA.
e-mail: thoffman{at}chi.osu.edu
BACKGROUND: Junctional ectopic tachycardia (JET) occurs commonly after pediatric cardiac operation. The cause of JET is thought to be the result of an injury to the conduction system during the procedure and may be perpetuated by hemodynamic disturbances or postoperative electrolyte disturbances, namely hypomagnesemia. The purpose of this study was to determine perioperative risk factors for the development of JET.
METHODS: Telemetry for each patient admitted to the cardiac intensive care unit from December 1997 through November 1998 for postoperative cardiac surgical care was examined daily for postoperative JET. A nested case-cohort analysis of 33 patients who experienced JET from 594 consecutively monitored patients who underwent cardiac operation was performed. Univariate and multivariate analyses were conducted to determine factors associated with the occurrence of JET.
RESULTS: The age range of patients with JET was 1 day to 10.5 years (median, 1.8 months). Univariate analysis revealed that dopamine or milrinone use postoperatively, longer cardiopulmonary bypass times, and younger age were associated with JET. Multivariate modeling elicited that dopamine use postoperatively (odds ratio, 6.2; p = 0.01) and age less than 6 months (odds ratio, 4.0; p = 0.02) were associated with JET. Only 13 (39%) of the patients with JET received therapeutic interventions.
CONCLUSIONS: Junctional ectopic tachycardia occurred in 33 (5.6%) of 594 patients who underwent cardiac operation during the study period. Postoperative dopamine use and younger age were associated with JET. It may be speculated that dopamine should be discontinued in the presence of postoperative JET.
This article has been cited by other articles:
|
|
 |
|
  A.-B. S. Mahmoud, A. E. Tantawy, A. A. Kouatli, and G. M. Baslaim Propranolol: a new indication for an old drug in preventing postoperative junctional ectopic tachycardia after surgical repair of tetralogy of Fallot Interactive CardioVascular and Thoracic Surgery, April 1, 2008; 7(2): 184 - 187. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 Y. Iwata, J. W. Newburger, D. Zurakowski, and R. A. Jonas Postoperative Hypothermia and Blood Loss After the Neonatal Arterial Switch Procedure Ann. Thorac. Surg., November 1, 2007; 84(5): 1627 - 1632. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. J. Tsoutsinos, J. Papagiannis, A. C. Chatzis, and G. E. Sarris Surgical Cryoablation for Life-Threatening Postoperative Junctional Tachycardia Ann. Thorac. Surg., July 1, 2007; 84(1): 286 - 288. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 J. G Kendrick, J. J Macready, and N. Kissoon Amiodarone Treatment of Junctional Ectopic Tachycardia in a Neonate Receiving Extracorporeal Membrane Oxygenation Ann. Pharmacother., October 1, 2006; 40(10): 1872 - 1875. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 J. W. Delaney, J. M. Moltedo, J. D. Dziura, G. S. Kopf, and C. S. Snyder Early postoperative arrhythmias after pediatric cardiac surgery J. Thorac. Cardiovasc. Surg., June 1, 2006; 131(6): 1296 - 1300. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 The International Liaison Committee on Resuscitati The International Liaison Committee on Resuscitation (ILCOR) Consensus on Science With Treatment Recommendations for Pediatric and Neonatal Patients: Pediatric Basic and Advanced Life Support Pediatrics, May 1, 2006; 117(5): e955 - e977. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 Part 6: Pediatric Basic and Advanced Life Support Circulation, November 29, 2005; 112(22_suppl): III-73 - III-90. [Full Text] [PDF]
|
|
|
|
 |
|
 M. Stafford-Smith Evidence-Based Renal Protection in Cardiac Surgery Seminars in Cardiothoracic and Vascular Anesthesia, March 1, 2005; 9(1): 65 - 76. [Abstract] [PDF]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
| ANN THORAC SURG | ASIAN CARDIOVASC THORAC ANN | EUR J CARDIOTHORAC SURG |
| J THORAC CARDIOVASC SURG | ICVTS | ALL CTSNet JOURNALS |
