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Titolo:
INCIDENCE AND MANAGEMENT OF DYSRHYTHMIAS AFTER FONTAN PROCEDURE
Autore:
PORTER CJ; GARSON A;
Indirizzi:
MAYO CLIN & MAYO FDN,PEDIAT CARDIOL SECT,200 1ST ST SW ROCHESTER MN 55905 DUKE UNIV,MED CTR,DEPT PEDIAT CARDIOL DURHAM NC 00000
Titolo Testata:
Herz
fascicolo: 5, volume: 18, anno: 1993,
pagine: 318 - 327
SICI:
0340-9937(1993)18:5<318:IAMODA>2.0.ZU;2-Z
Fonte:
ISI
Lingua:
ENG
Soggetto:
TOTAL CAVOPULMONARY CONNECTION; TRICUSPID-ATRESIA; UNIVENTRICULAR HEART; PEDIATRIC-PATIENTS; LATE COMPLICATIONS; CURRENT STATE; OPERATION; ARRHYTHMIAS; REPAIR; TACHYARRHYTHMIAS;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
25
Recensione:
Indirizzi per estratti:
Citazione:
C.J. Porter e A. Garson, "INCIDENCE AND MANAGEMENT OF DYSRHYTHMIAS AFTER FONTAN PROCEDURE", Herz, 18(5), 1993, pp. 318-327

Abstract

The modified Fontan procedure for univentricular heart disease results in the full spectrum of significant cardiac arrhythmias: tachycardias and bradycardias. The tachycardias are primarily supraventricular inorigin: 1. atrial flutter, 2. primary atrial tachycardia, 3. atrial fibrillation, and 4. accelerated junctional rhythm or junctional tachycardia; however, ventricular tachyarrhythmias occur also, but less frequently. Bradycardia usually is a result of 1. sinoatrial node dysfunction resulting in junctional rhythm or 2. less commonly, atrioventricular conduction abnormalities, such as second degree and third degree atrioventricular block. Finally, the combination of atrial tachyarrhythmias and sinoatrial node dysfunction can occur in a small but significant number of patients after Fontan surgery. A complete array of medical and pacemaker therapeutic options is necessary for the physician to treat these difficult arrhythmias successfully.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 04/04/20 alle ore 02:21:19