DETECTION OF EARLY POSTOPERATIVE DYSRHYTHMIAS AFTER TOTAL CORRECTION OF FALLOT'S TETRALOGY
Tamer Ahmed Abd El-MaKsoud;
Abstract
This study was carried out on 40 patients who were admitted to the postoperative intensive care unit in the National Heart Institute after being subjected to surgical total correction of Fallot's tetralogy; either transatrially or transventricularly; in the period from 311999 to 1112000.
The primary purpose of the current study was to evaluate the incidence of postoperative dysrhythmias after successful total correction of Fallot's teralogy Also, we studied the difference between the two different approaches used in its repair; transatrial or transventricular ; in regard to the incidence of the different types of postoperative dysrhythmias.
Every patient was subjected to the following:
1) Preoperative assessment and evaluation including history taking, clinical assessment and twelve lead electrocardiogram.
2) Postoperative follow up (for 7 successive days)
including Clinical assessment, twelve lead electrocardiogram daily in the first three postoperative days, transthorasic echocardiography and laboratory investigations including serum sodium, serum potassium, Hb and Hct levels, Pa02 and PaC02 and Twenty-Four hours ambulatory Holter monitoring.
We excluded patients with residual flow across the ventricular septal defect patch, gradient across the right ventricular outflow tract of more than 30mmHg, moderate
The primary purpose of the current study was to evaluate the incidence of postoperative dysrhythmias after successful total correction of Fallot's teralogy Also, we studied the difference between the two different approaches used in its repair; transatrial or transventricular ; in regard to the incidence of the different types of postoperative dysrhythmias.
Every patient was subjected to the following:
1) Preoperative assessment and evaluation including history taking, clinical assessment and twelve lead electrocardiogram.
2) Postoperative follow up (for 7 successive days)
including Clinical assessment, twelve lead electrocardiogram daily in the first three postoperative days, transthorasic echocardiography and laboratory investigations including serum sodium, serum potassium, Hb and Hct levels, Pa02 and PaC02 and Twenty-Four hours ambulatory Holter monitoring.
We excluded patients with residual flow across the ventricular septal defect patch, gradient across the right ventricular outflow tract of more than 30mmHg, moderate
Other data
| Title | DETECTION OF EARLY POSTOPERATIVE DYSRHYTHMIAS AFTER TOTAL CORRECTION OF FALLOT'S TETRALOGY | Other Titles | الكشف عن احتلال نشاط القلب الكهربائى فى الفتره المبكره بعد جراحه الاصلاح الكامل لرباعى فالوت | Authors | Tamer Ahmed Abd El-MaKsoud | Issue Date | 2002 |
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