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《Shanghai Medical Journal》 1992-01
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Cheng Ling, et al. Department of Pediatric Cardiac and Thoracic Surgery, Xinhua Hospital, Shanghai Second Medical University, Shanghai 200092  
The outcome of 14 cases with complete atrioventricular block (AVB) after open heart operation for congenital heart disease is reported. Temporary epicardial pacemaker wire was placed intraoperatively in 13 patients and 11 of them had temporary pacing during postoperative period. Temporary pacing persisted for 1.7 to 60 days and 10 of the 11 patients needed soproterenol simultaneously. Nine patients recovered sinus rhythm within 1.7-30 (11.2±9.3) days after operation. There was no recurrence of AVB. Permanent pacemaker was planted in 4 patients and 3 of them died in the first year. There was no significant difference in ventricular rate(68.4±17.7 vs 70.6±15.4) and width of QRS complex (0.1±0.02 vs 0.108±0.009) during AVB between the persistent and temporary AVB groups. Therefore, neither the rate nor the width of QRS complex is a predictive factor of reversion to normal rhythm in early postoperative period.
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