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• W1683448189 abstract "ABSTRACT OBJECTIVES: The objectives of this study were to determine the frequency and characteristics of early postoperative arrhythmias, factors associated with their occurrence, and their treatment in children after cardiac surgery. METHODOLOGY: This was a retrospective and analytic study in children operated at the Cardiac Center Shisong (Cameroon) between January 2010 and December 2013. Information on demographic, pre-operative, surgical and post-operative characteristics was extracted from each patient’s medical record. Arrhythmias were classified as sinus bradycardia, sinus tachycardia, atrial flutter, etc... RESULTS: A total of 150 children were recruited. The most common arrhythmias were supra-ventricular tachycardia (35.3%), sinus bradycardia (19.6%) and junctional ectopic tachycardia (15.7%). Arrhythmias appeared mainly in the first 24 hours postoperative (57.4%). Amiodarone was the most commonly used antiarrhythmic drug. After a multivariate logistic regression analysis, weight between 5 and 9 kg (p < 0.001) and open heart surgery (p < 0.01) were the factors that remained significantly associated with arrhythmias. CONCLUSION: Early postoperative arrhythmias are common after pediatric cardiac surgery and the most common is supra-ventricular tachycardia. Children with weight ranging between 5 and 9 kg and those who undergo an open heart surgery are at risk of developing arrhythmias. RESUME OBJECTIFS: Les objectifs de cette etude etaient de determiner la frequence et les caracteristiques des arythmies postoperatoires precoces, les facteurs lies a leur frequence, et leur traitement chez les enfants apres une chirurgie cardiaque. METHODOLOGIE: Nous avons realise une etude retrospective, analytique chez les enfants operes au Centre de chirurgie cardiaque de Shisong (Cameroun) entre Janvier 2010 et Decembre 2013. Les informations sur les donnees demographiques, les caracteristiques pre et post-operatoires des patients, la chirurgie realisee ont ete obtenues a partir du dossier medical de chaque patient. Les arythmies ont ete classees en bradycardie sinusale, tachycardie sinusale, flutter auriculaire,... RESULTATS: Un total de 150 enfants ont ete recrutes. Les arythmies les plus frequentes etaient la tachycardie supra-ventriculaire (35,3%), bradycardie sinusale (19,6%) et la tachycardie ectopique jonctionnelle (15,7%). Les arythmies sont apparues principalement dans les 24 premieres heures post-operatoires (57,4%). L’Amiodarone etait l'antiarythmique le plus utilise. Apres une regression logistique multivariee, le poids entre 5 et 9 kg (p <0,001) et la chirurgie a cœur ouvert (p <0,01) ont ete les facteurs qui restaient significativement associes a des arythmies. CONCLUSION: Les arythmies postoperatoires precoces sont frequentes apres une chirurgie cardiaque pediatrique et la tachycardies supra-ventriculaire est la plus retrouvee. Les patients ayant un poids compris entre 5 et 9 kg et qui ont subi une chirurgie a cœur ouvert sont le plus a risque de developper une arythmie en post operatoire." @default.
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• W1683448189 date "2015-06-05" @default.
• W1683448189 modified "2023-09-25" @default.
• W1683448189 title "Early Postoperative Arrhythmias after Cardiac Surgery in Children at the Shisong Cardiac Center, Cameroon" @default.
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