Document Detail


Prognosis for patients with congenital heart disease and postoperative intraventricular conduction defects.
MedLine Citation:
PMID:  346255     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Intraventricular conduction defects are common following repair of various forms of congenital heart disease. Such defects may affect adversely the long-term prognosis of patients in whom cardiac hemodynamics were adequately restored. Review of previously published studies suggests that the site of the conduction defect may be the reason for the different prognoses reported for patients from different institutions. The so-called "trifascicular block" pattern which sometimes occurs following open heart surgery is probably due to a more extensive lesion to the branching and penetrating parts of the His bundle rather than additional injury to the posterior left bundle branch fibers. Transient complete heart block in the immediate postoperative period seems to be a predictor for late development of complete heart block or sudden death at least as powerful as right bundle branch block and left anterior hemiblock.
Authors:
E Krongrad
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Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, P.H.S.; Review    
Journal Detail:
Title:  Circulation     Volume:  57     ISSN:  0009-7322     ISO Abbreviation:  Circulation     Publication Date:  1978 May 
Date Detail:
Created Date:  1978-06-17     Completed Date:  1978-06-17     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0147763     Medline TA:  Circulation     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  867-70     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Bundle-Branch Block / complications*
Cardiac Surgical Procedures / adverse effects
Child
Child, Preschool
Electrocardiography
Heart Defects, Congenital / complications*
Humans
Infant
Prognosis

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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