• Saudi Med J · Oct 2022

    Risk factors of early postoperative cardiac arrhythmia after pediatric cardiac surgery: A single-center experience.

    • Rahaf K Alotaibi, Abdulmuti S Saleem, Fai F Alsharef, Zainab A Alnemer, Yazan M Saber, Gaser A Abdelmohsen, and Saud A Bahaidarah.
    • From the Faculty of Medicine (Alotaibi, Saleem, Alsharef, Alnemer, Saber), King Abdulaziz University; from the Division of Paediatric Cardiology (Abdelmohsen, Bahaidarah), Department of Paediatrics, King Abdulaziz University Hospital, Jeddah, Kingdom of Saudi Arabia, and from the Division of Paediatric Cardiology (Abdelmohsen), Department of Paediatrics, Kasr Al Ainy School of Medicine, Cairo University, Cairo, Eygpt.
    • Saudi Med J. 2022 Oct 1; 43 (10): 111111191111-1119.

    ObjectivesTo evaluate the incidence of arrhythmia in the early postoperative period and to identify its risk factors among pediatric patients following cardiac surgery at King Abdulaziz University Hospital (KAUH), Jeddah, Saudi Arabia, between 2015-2020.MethodsOut of 1242 patients, a total of 821 aged <18 years who underwent cardiac surgery were included in this retrospective cohort carried out in June 2021 at KAUH, Jeddah, Saudi Arabia. Information retrieved from the hospital medical records had patients' demographics, types of arrhythmias, hemodynamic stability, electrolyte disturbances, cardiopulmonary bypass (CPB), and aortic cross-clamp (AXC) durations. Univariate and multivariate logistic regression analyses were used to evaluate the possible risk factors associated with postoperative arrhythmia.ResultsOf the 821 patients, 140 (17.1%) developed arrhythmia postoperatively. The most common arrhythmias were junctional ectopic tachycardia (JET, 51.4%), atrioventricular block (27.1%), and supraventricular tachycardia (10%). The majority of cases occurred on the first day postoperatively (79.3%). Patients with postoperative arrhythmias had a more prolonged CPB (p=0.0001) and AXC (p=0.005) time, electrolytes disturbances (p=0.021), and hemodynamic instability (p=0.0001) than other patients.ConclusionPostoperative arrhythmia, especially JET, is common after pediatric cardiac surgery. Prolonged cardiopulmonary bypass, prolonged aortic cross-clamping, electrolytes disturbances, and hemodynamic instability are possible risk factors for postoperative cardiac arrhythmias.Copyright: © Saudi Medical Journal.

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