[The prognosis of the transitory disturbances of av-conduction following cardiac surgery (author's transl)].
Out of 2250 cases with open heart surgery 106 patients were examined because of disturbances of av-conduction in the Department for Cardiology of the Childrens Hospital of the University of Göttingen. 38, 7 percent of all av-conduction disturbances have persisted, whereas 61, 3 percent were reversible. Especially the ventricular septal defects, the tetralogy of Fallot and the endocardial cushion defects are discussed. These lesions are predisposed for postsurgical av-disturbances because they are near to the av-conduction tissue. In this paper it has been demonstrated that the av-conduction disturbances, which last for more than one week, have only a little chance to return to sinus rhythm. Those which endure more than four weeks, will persist. The longer the av-conduction disturbances are lasting, the less is the possibility for restitution of sinus rhythm.
D000293:Adolescent; D000328:Adult; D001145:Arrhythmias, Cardiac / Q000175:diagnosis* / Q000209:etiology; D006348:Cardiac Surgical Procedures; D002648:Child; D002675:Child, Preschool; D006329:Heart Conduction System / Q000293:injuries; D006330:Heart Defects, Congenital / Q000601:surgery; D006345:Heart Septal Defects, Ventricular / Q000601:surgery; D006355:Heart-Lung Machine; D006801:Humans; D007223:Infant; D011183:Postoperative Complications; D011379:Prognosis; D013771:Tetralogy of Fallot / Q000601:surgery; D013997:Time Factors
Zur Prognose der passageren AV-Uberleitungsstörungen nach korrektiven Eingriffen am Herzen