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  • Alenius Dahlqvist, Jenny,1972-Umeå University,Umeå universitet,Pediatrik (författare)

Pacemaker treatment after Fontan surgery-A Swedish national study

  • Artikel/kapitelEngelska2019

Förlag, utgivningsår, omfång ...

  • 2019-03-18
  • Computers, Materials and Continua (Tech Science Press),2019

Nummerbeteckningar

  • LIBRIS-ID:oai:gup.ub.gu.se/283598
  • https://gup.ub.gu.se/publication/283598URI
  • https://doi.org/10.1111/chd.12766DOI
  • https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-156716URI
  • https://lup.lub.lu.se/record/c1c186ea-ca9c-425e-b231-8985a81abf66URI
  • http://kipublications.ki.se/Default.aspx?queryparsed=id:141619753URI

Kompletterande språkuppgifter

  • Språk:engelska

Ingår i deldatabas

Klassifikation

  • Ämneskategori:ref swepub-contenttype
  • Ämneskategori:art swepub-publicationtype

Anmärkningar

  • Originally included in thesis in manuscript form.
  • ObjectiveFontan surgery is performed in children with univentricular heart defects. Previous data regarding permanent pacemaker implantation frequency and indications in Fontan patients are limited and conflicting. We examined the prevalence of and risk factors for pacemaker treatment in a consecutive national cohort of patients after Fontan surgery in Sweden. MethodsWe retrospectively reviewed all Swedish patients who underwent Fontan surgery from 1982 to 2017 (n=599). ResultsAfter a mean follow-up of 12.2years, 13% (78/599) of the patients with Fontan circulation had received pacemakers. Patients operated with the extracardiac conduit (EC) type of total cavopulmonary connection had a significantly lower prevalence of pacemaker implantation (6%) than patients with lateral tunnel (LT; 17%). Mortality did not differ between patients with (8%) and without pacemaker (5%). The most common pacemaker indication was sinus node dysfunction (SND) (64%). Pacemaker implantation due to SND was less common among patients with EC. Pacemaker implantation was significantly more common in patients with mitral atresia (MA; 44%), double outlet right ventricle (DORV; 24%) and double inlet left ventricle (DILV; 20%). In contrast, patients with pulmonary atresia with intact ventricular septum and hypoplastic left heart syndrome were significantly less likely to receive a pacemaker (3% and 6%, respectively). ConclusionsThirteen percent of Fontan patients received a permanent pacemaker, most frequently due to SND. EC was associated with a significantly lower prevalence of pacemaker than LT. Permanent pacemaker was more common in patients with MA, DORV, and DILV.

Ämnesord och genrebeteckningar

Biuppslag (personer, institutioner, konferenser, titlar ...)

  • Sunnegårdh, Jan,1948Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper,Institute of Clinical Sciences,Department of Cardiology, The Queen Silvia Children's Hospital, Sahlgrenska University Hospital, Institute of Clinical Sciences, Gothenburg University, Gothenburg, Sweden(Swepub:gu)xsunja (författare)
  • Hanséus, KatarinaLund University,Lunds universitet,Pediatrik, Lund,Sektion V,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Paediatrics (Lund),Section V,Department of Clinical Sciences, Lund,Faculty of Medicine,Skåne University Hospital(Swepub:lu)pedi-kha (författare)
  • Strömvall-Larsson, Eva,1952Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper,Institute of Clinical Sciences,Department of Cardiology, The Queen Silvia Children's Hospital, Sahlgrenska University Hospital, Institute of Clinical Sciences, Gothenburg University, Gothenburg, Sweden (författare)
  • Nygren, AndersGothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper,Institute of Clinical Sciences,Department of Cardiology, The Queen Silvia Children's Hospital, Sahlgrenska University Hospital, Institute of Clinical Sciences, Gothenburg University, Gothenburg, Sweden(Swepub:gu)xnyand (författare)
  • Dalen, M.Karolinska Institutet (författare)
  • Berggren, H.Department of Pediatric Cardiac Surgery, Children's Heart Center, The Queen Silvia Children's Hospital, Gothenburg , Sweden (författare)
  • Johansson Ramgren, JensDepartment of Pediatric Cardiac Surgery, Children´s Heart Center, Skånes University Hospital Lund, Sweden(Swepub:lu)je5567jo (författare)
  • Wiklund, UrbanUmeå University,Umeå universitet,Radiofysik(Swepub:umu)urwi0001 (författare)
  • Rydberg, AnnikaUmeå University,Umeå universitet,Pediatrik(Swepub:umu)anry0014 (författare)
  • Umeå universitetPediatrik (creator_code:org_t)

Sammanhörande titlar

  • Ingår i:Congenital Heart Disease: Computers, Materials and Continua (Tech Science Press)14:4, s. 582-5891747-079X1747-0803

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