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Intra-operative arrhythmia predicts post-operative arrhythmia and the need for temporary pacing wires

Published online by Cambridge University Press:  04 February 2014

Kurt Piggott ,
Rodrigo Nehgme ,
William Decampli ,
Kamal Pourmoghadam ,
Harun Fakioglu  and
Carlos Blanco
Kurt Piggott*
Affiliation:
The Heart Center at Arnold Palmer Hospital for Children, 92 W. Miller St., MP307, Orlando, FL, United States of America
Rodrigo Nehgme
Affiliation:
The Heart Center at Arnold Palmer Hospital for Children, 92 W. Miller St., MP307, Orlando, FL, United States of America
William Decampli
Affiliation:
The Heart Center at Arnold Palmer Hospital for Children, 92 W. Miller St., MP307, Orlando, FL, United States of America
Kamal Pourmoghadam
Affiliation:
The Heart Center at Arnold Palmer Hospital for Children, 92 W. Miller St., MP307, Orlando, FL, United States of America
Harun Fakioglu
Affiliation:
The Heart Center at Arnold Palmer Hospital for Children, 92 W. Miller St., MP307, Orlando, FL, United States of America
Carlos Blanco
Affiliation:
The Heart Center at Arnold Palmer Hospital for Children, 92 W. Miller St., MP307, Orlando, FL, United States of America
*
Correspondence to: Dr K. D. Piggott, MD, The Heart Center at Arnold Palmer Hospital for Children, 92 W. Miller St., MP307, Orlando, FL 32806, United States of America. Tel: +407-766-2948; E-mail: Kurt.piggott@orlandohealth.com
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Abstract

Objective: Protocols for the placement of temporary pacing wires vary among institutions. Our current protocol is to selectively place temporary pacing wires in those patients who develop haemodynamically significant intra-operative arrhythmia. We wished to identify how effective our current protocol is at identifying who will develop post-operative arrhythmia and need temporary pacing wires. Methods: The charts of 880 patients over 8 years who underwent cardiopulmonary bypass were reviewed to find patients who developed intra-operative arrhythmia, had temporary pacing wires placed, and whether or not they developed post-operative arrhythmia and required utilisation of the pacing wires. Results: A total of 87 (9.9%) out of 880 patients who required cardiopulmonary bypass over 8 years had intra-operative arrhythmia and had temporary pacing wires placed. Of these, 59 (67.8%) had post-operative arrhythmia and utilised the pacing wires, whereas 28 (32.2%) did not have post-operative arrhythmia or utilise the pacing wires. In all, seven patients who did not have intra-operative arrhythmia or temporary pacing wires placed developed post-operative arrhythmia. Conclusion: Intra-operative arrhythmia is predictive of post-operative arrhythmia (70.2%) and our protocol is a sensitive means of identifying those who will develop post-operative arrhythmia (89.3%).

Keywords

Arrhythmiatemporary pacing wirescongenital heart diseasepaediatrics
Type
Original Articles
Information
Cardiology in the Young , Volume 25 , Issue 3 , March 2015 , pp. 454 - 458
Copyright
© Cambridge University Press 2014 

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