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Efficacy of preoperative propranolol in preventing junctional ectopic tachycardia after complete repair of tetralogy of Fallot
العناوين الأخرى
فعالية استخدام البروبرانولول قبل الجراحة في الوقاية من تسرع القلب الوصلي المنتبذ بعد الإصلاح الجراحي الكامل لرباعي فاللو
المؤلفون المشاركون
Husayn, Ala Muhammad
Surur, Samir
المصدر
Damascus University Journal for Medical Sciences
العدد
المجلد 36، العدد 2 (31 ديسمبر/كانون الأول 2020)، ص ص. 1-9، 9ص.
الناشر
تاريخ النشر
2020-12-31
دولة النشر
سوريا
عدد الصفحات
9
التخصصات الرئيسية
الملخص EN
Background and Objective: Junctional ectopic tachycardia (JET) is a common arrhythmia causing hemodynamic impairment following tetralogy of Fallot (TOF) complete repair.
Although propranolol is used in these patients to prevent and control hypercyanotic spells, its antiarrhythmic effects are not widely studied in the postoperative period.
We undertook this study to examine possible preventive effects of propranolol on postoperative JET after complete surgical repair of TOF.
Materials and Methods: This is a prospective study conducted in the pediatric cardiac intensive care unit (PCICU) at University Children's Hospital, and was carried out on 124 patients who had complete repair of tetralogy of Fallot.
Patients were classified into two groups: the propranolol group (71patients) who received propranolol preoperatively, and the control group (53 patients) who did not receive propranolol preoperatively.
Results: Incidence of cyanotic spells was higher in the propranolol group compared to the control group (p value=0.005).
The overall incidence of JET in our study was 16.9%, where the incidence of postoperative JET was 8.5% in the propranolol group and 28.3% in the control group (P value=0.004).
High inotropic requirements were lower in the propranolol group (p value=0.028).
The mortality rate was higher in JET patients (10 deaths in JET patients 47.6% vs.
10 deaths in the other patients 9.7%) which was a statistically significant difference (P value=0.0001).
Conclusions: Prophylactic use of propranolol is associated with a significantly decreased incidence of postoperative junctional ectopic tachycardia in children after complete surgical repair of TOF.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Husayn, Ala Muhammad& Surur, Samir. 2020. Efficacy of preoperative propranolol in preventing junctional ectopic tachycardia after complete repair of tetralogy of Fallot. Damascus University Journal for Medical Sciences،Vol. 36, no. 2, pp.1-9.
https://search.emarefa.net/detail/BIM-1275435
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Husayn, Ala Muhammad& Surur, Samir. Efficacy of preoperative propranolol in preventing junctional ectopic tachycardia after complete repair of tetralogy of Fallot. Damascus University Journal for Medical Sciences Vol. 36, no. 2 (2020), pp.1-9.
https://search.emarefa.net/detail/BIM-1275435
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Husayn, Ala Muhammad& Surur, Samir. Efficacy of preoperative propranolol in preventing junctional ectopic tachycardia after complete repair of tetralogy of Fallot. Damascus University Journal for Medical Sciences. 2020. Vol. 36, no. 2, pp.1-9.
https://search.emarefa.net/detail/BIM-1275435
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references : p. 8-9
رقم السجل
BIM-1275435
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
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