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Incidence and Related Risk Factors of Junctional Ectopic Tachycardia in Infants after Cardiac Surgery for Congenital Heart Disease

 Jae Hee Seol  ;  Se Yong Jung  ;  Jae Young Choi  ;  Han Ki Park  ;  Young Hwan Park  ;  Nam Kyun Kim 
 CONGENITAL HEART DISEASE, Vol.17(5) : 569-578, 2022-09 
Journal Title
Issue Date
Junctional ectopic tachycardia ; congenital heart disease ; early re-polarization
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 <1 year who underwent open cardiac surgery at Severance Cardiovascular Hospital from January 2018 to December 2020. Exclusion criteria were immediate postoperative mortality, other arrhythmias detected in the perioperative period, and prematurity. Result: The overall incidence of junctional ectopic tachycardia was 12.9%. The logistic regression analysis revealed that longer cardiopulmonary bypass time, surgery involving atrioventricular node stretching, and the presence of early repolarization on preoperative electrocardiography increased the risk of junctional ectopic tachycardia. Patients with junctional ectopic tachycardia had longer intubation time and intensive care unit stay. Conclusion: Junctional ectopic tachycardia is a common arrhythmia after cardiac surgery for congenital heart disease in infants. Occasionally, infants developing junctional ectopic tachycardia after cardiac surgery have specific preoperative electrocardiography findings. The risk factors for junctional ectopic tachycardia were associated not only with surgical procedural factors but also with preoperative electrocardiographic parameters.
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Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Pediatrics (소아과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Thoracic and Cardiovascular Surgery (흉부외과학교실) > 1. Journal Papers
Yonsei Authors
Park, Young Hwan(박영환) ORCID logo https://orcid.org/0000-0001-9802-8017
Jung, Se Yong(정세용) ORCID logo https://orcid.org/0000-0003-1337-563X
Choi, Jae Young(최재영) ORCID logo https://orcid.org/0000-0002-1247-6669
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