title: Arrhythmias After Stage I Hybrid Palliation in Single-Ventricle Patients.
abstract: The hybrid procedure is an alternative palliative strategy for patients with single-ventricle physiology. No data exist documenting the incidence of arrhythmias after the hybrid procedure. Goal of this study was to determine the incidence and type of arrhythmias in patients undergoing the hybrid procedure. A retrospective chart review was performed including all patients undergoing the hybrid procedure between January of 2010 through December of 2013. Sixty-five patients underwent the hybrid procedure during this time period (43 HLHS, 22 other). Average gestational age at admission was 37.7 weeks. Average age at time of procedure was 7.6 days. Five patients had documented arrhythmias (7.7 %). Four were supraventricular tachycardias, and 1 was a sinus bradycardia. One patient with arrhythmia died during hospitalization, and another patient with arrhythmia died during the interstage period. Hybrid palliation for patients with single-ventricle physiology has a low incidence of arrhythmias. In this cohort of patients, arrhythmias did not contribute to mortality. There was a trend toward association between arrhythmias and longer total length of hospital stay.
authors.affiliation: Nationwide Children's Hospital, 700 Children's Dr., Columbus, OH, 43205-2664, USA. Jeffrey.Moore@NationwideChildrens.org.
authors.forename: Jeffrey
authors.initials: J
authors.lastname: Moore
authors.affiliation: Nationwide Children's Hospital, 700 Children's Dr., Columbus, OH, 43205-2664, USA.
authors.forename: Diane
authors.initials: D
authors.lastname: Paulus
authors.affiliation: Nationwide Children's Hospital, 700 Children's Dr., Columbus, OH, 43205-2664, USA.
authors.forename: Clifford L
authors.initials: CL
authors.lastname: Cua
authors.affiliation: Nationwide Children's Hospital, 700 Children's Dr., Columbus, OH, 43205-2664, USA.
authors.forename: Naomi J
authors.initials: NJ
authors.lastname: Kertesz
authors.affiliation: Nationwide Children's Hospital, 700 Children's Dr., Columbus, OH, 43205-2664, USA.
authors.forename: Yongjie
authors.initials: Y
authors.lastname: Miao
authors.affiliation: Nationwide Children's Hospital, 700 Children's Dr., Columbus, OH, 43205-2664, USA.
authors.forename: John P
authors.initials: JP
authors.lastname: Cheatham
authors.affiliation: Nationwide Children's Hospital, 700 Children's Dr., Columbus, OH, 43205-2664, USA.
authors.forename: Mark
authors.initials: M
authors.lastname: Galantowicz
authors.affiliation: Nationwide Children's Hospital, 700 Children's Dr., Columbus, OH, 43205-2664, USA.
authors.forename: Richard
authors.initials: R
authors.lastname: Fernandez
mesh_terms: D001145:Arrhythmias, Cardiac; D006352:Heart Ventricles; D006801:Humans; D018636:Hypoplastic Left Heart Syndrome; D007223:Infant; D010166:Palliative Care; D012189:Retrospective Studies; D012307:Risk Factors; D016896:Treatment Outcome
keywords: Arrhythmia; Hybrid; Hypoplastic left heart syndrome; Single ventricle