His bundle electrogram after intracardiac repair of tetralogy of Fallot. Analysis of data in 59 patients.
His bundle electrograms were recorded in 59 patients after intracardiac repair of tetralogy of Fallot and were correlated with the postoperative electrocardiogram. Except for five patients with first degree atrioventricular block postoperatively all patients in Group A (those with either a normal electrocardiogram or solitary right bundle branch block) had a normal A-H interval (77.7 +/- 21.6 msec) (mean +/- standard deviation); all had a normal H-V interval (39.5 +/- 7.2 msec). Patients in Group B (bifascicular block) tended to have a normal A-H interval (97.2 +/- 26.2 msec) with a prolonged H-V interval (48.8 +/- 10.7 msec). Patients in Group C (trifascicular block) had prolongation of both the A-H (160.0 +/- 32.4 msec) and the H-V interval (58.8 +/- 10.6 msec) by comparison with control values. Patients in Group D (transient complete heart block) had a normal A-H interval (79.5 +/- 28.2 msec) but a prolonged H-V interval (57.8 +/- 16.4 msec), similar to that in Group C. A good hemodynamic result was associated with a normal H-V interval; a prolonged interval accompanied a poor result.
D000293:Adolescent; D000328:Adult; D000367:Age Factors; D001794:Blood Pressure; D002036:Bundle of His / Q000503:physiopathology*; D002037:Bundle-Branch Block / Q000175:diagnosis; D002302:Cardiac Output; D002648:Child; D002675:Child, Preschool; D004562:Electrocardiography / Q000379:methods*; D006327:Heart Block / Q000175:diagnosis*; D006329:Heart Conduction System / Q000503:physiopathology*; D006352:Heart Ventricles / Q000503:physiopathology; D006801:Humans; D007223:Infant; D011183:Postoperative Complications / Q000175:diagnosis; D011379:Prognosis; D013771:Tetralogy of Fallot / Q000503:physiopathology* / Q000601:surgery