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《Shanghai Medical Journal》 1992-01
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COMPLETE ATRIOVENTRICULAR BLOCK AFTER OPEN HEART SURGERY FOR CONGENITAL HEART DISEASE

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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【References】
Chinese Journal Full-text Database 1 Hits
1 ;小儿先天性心脏病心内直视术后完全性房室传导阻滞的护理[J];Journal of Nurses Training;2001-04
【Co-references】
Chinese Journal Full-text Database 2 Hits
1 Jin Mei;Han Ling;Ding Wenhong;et al(Beijing Heart,Lung and Blood Vessel Medical Center,Beijing Anzhen Hospital(100029));Congenital Heart Diseases and Arrhythmia,Analysis of 579 cases[J];JOURNAL OF CARDIOVASCULAR AND PULMONARY DISEASES;1996-03
2 Pan Shi-Wei;Xiao Ming-Di;Liu Ying-Long, et al.(Department of Cardiac Surgery, Cardiovascular Institute and Fu Wai Hospital, CAMS and PUMC,Beijing)(100037);Transient Ⅲ°Atrioventricular Block After Open-heart Surgery for Congenital Heart Disease[J];CHINESE CIRCULATION JOURNAL;1996-05
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