Key result
AV node stretching during infant congenital heart surgery is linked to ~316% higher postoperative JET risk.
Why the study?
The incidence and related risk factors of junctional ectopic tachycardia in infants after cardiac surgery for congenital heart disease are not well known.
What are the incidence and related risk factors for junctional ectopic tachycardia in neonates and infants after cardiac surgery for congenital heart disease?
Cohort (n=271)
No
What are the incidence and related risk factors for junctional ectopic tachycardia in neonates and infants after cardiac surgery for congenital heart disease?
Answers are grounded in this paper and cite their sources.
May prompt avoidance of atrioventricular node stretch during surgery; leaves open need for prospective confirmation before practice change.
Objective: Junctional ectopic tachycardia is common after cardiac surgery for congenital heart disease. However, its incidence and related risk factors in infants after cardiac surgery are not well known. The objective of this study was to determine the overall incidence and related risk factors for junctional ectopic tachycardia in neonates and infants. Methods: We enrolled a total of 271 patients aged
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Seol et al. (2022) conducted a cohort in Congenital heart disease requiring open cardiac surgery (n=271). Surgery involving atrioventricular (AV) node stretching vs. Surgery away from AV node was evaluated on Development of junctional ectopic tachycardia (JET) (OR 4.16, 95% CI 1.20-14.39, p=0.024). In infants undergoing cardiac surgery for congenital heart disease, surgery involving atrioventricular node stretching increased the risk of postoperative junctional ectopic tachycardia.
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