KMID : 1011920100110040034
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International Journal of Arrhythmia 2010 Volume.11 No. 4 p.34 ~ p.42
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Arrhythmias in postoperative congenital heart diseses
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Huh June
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Abstract
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Congenital heart diseases (CHD) are commonly associated with early- and late-onset arrhythmias after hemodynamic and/or anatomical surgical treatment. In order to diagnose postoperative arrhythmias in CHD, an understanding of the complex anatomy, predisposing factors and hemodynamic abnormalities is reguired. Substrates for arrhythmias in postoperative arrhythmias are related to hemodynamic abnormalities and anatomical lesions caused by surgery as well as by underlying congenital cardiac defects. According to the cardiac conduction components, postoperative arrhythmias in CHD can be classified into five groups; arrhythmias related to sinus node function, arrhythmias related to intraatrial conduction, arrhythmias related to atrioventricular node function, arrhythmias related to ventricular conduction abnormalities, mixed. The management of arrhythmias in CHD should be integrated with the care of the underlying heart
defects and hemodynamic abnormalities.
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KEYWORD
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congenital heart defects, cardiac arrhythmia, surgery, risk factors
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