Bradyarrhythmia development and permanent pacemaker implantation after cardiac surgery

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dc.authoridhasdemir, hakan/0009-0002-5607-7130
dc.authoridOzcan, Kazim Serhan/0000-0002-5321-442X
dc.authoridOsmonov, Damirbek/0000-0003-2538-6192
dc.authorwosidhasdemir, hakan/F-8194-2014
dc.authorwosidYILDIRIM, Ersin/HKF-6936-2023
dc.authorwosidaltay, servet/C-1387-2018
dc.authorwosidOzcan, Kazim Serhan/O-3365-2018
dc.authorwosidTurkkan, Ceyhan/HGV-1017-2022
dc.contributor.authorTurkkan, Ceyhan
dc.contributor.authorOsmanov, Damirbek
dc.contributor.authorYildirim, Ersin
dc.contributor.authorOzcan, Kazim Serhan
dc.contributor.authorAltay, Servet
dc.contributor.authorHasdemir, Hakan
dc.contributor.authorAlper, Ahmet Taha
dc.date.accessioned2024-06-12T10:55:08Z
dc.date.available2024-06-12T10:55:08Z
dc.date.issued2018
dc.departmentTrakya Üniversitesien_US
dc.description.abstractOBJECTIVE: Bradyarrhythmia is one of the complications that may develop after cardiac surgery. Only a few studies have previously dealt with this concern, and in our study, we investigated the factors affecting the development of atrioventricular block or sinus node dysfunction and the requirement of permanent pacemaker following cardiac surgery. METHODS: A total of 62 patients who developed the atrioventricular (AV) block or sinus node dysfunction and required a permanent pacemaker following cardiac surgery were included in the study. Among these, 31 patients were evaluated prospectively, and the information regarding 31 patients was evaluated retrospectively based on hospital records. Demographic, clinical, and surgical information was recorded. Patients were grouped according to the types of procedures, including the coronary artery bypass graft, valve surgery, congenital heart disease, and combinations of these. Patients were evaluated by standard 12-lead electrocardiogram and transthoracic echocardiography preoperatively. The postoperative development of bradyarrhythmia and requirement of permanent pacemaker were evaluated. RESULTS: The mean age of patients with preoperative conduction abnormality and wide QRS was statistically significantly higher than those without these disorders. The odds ratio for preoperative conduction abnormality risk in patients over 70 years of age was found as 4.429 (95% confidence interval, 1.40-13.93). There was no gender-related statistically significant difference in terms of left ventricular ejection fraction, left ventricular dilatation, interventricular septum thickness, the time interval from operation to the development of AV block, concomitant diseases, and complication rates. CONCLUSION: Preoperative conduction abnormality and wide QRS in patients over 70 years of age was determined as a risk factor.en_US
dc.identifier.doi10.14744/nci.2017.20438
dc.identifier.endpage294en_US
dc.identifier.issn2148-4902
dc.identifier.issue4en_US
dc.identifier.pmid30859158en_US
dc.identifier.startpage288en_US
dc.identifier.urihttps://doi.org/10.14744/nci.2017.20438
dc.identifier.urihttps://hdl.handle.net/20.500.14551/19291
dc.identifier.volume5en_US
dc.identifier.wosWOS:000453318400003en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherKare Publen_US
dc.relation.ispartofNorthern Clinics Of Istanbulen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectBradyarrhythmiaen_US
dc.subjectCardiac Surgeryen_US
dc.subjectPermanent Pacemakeren_US
dc.subjectAortic-Valve-Replacementen_US
dc.subjectOpen-Heart Surgeryen_US
dc.subjectAtrioventricular-Conductionen_US
dc.subjectRisk-Factorsen_US
dc.subjectTetralogyen_US
dc.subjectFalloten_US
dc.titleBradyarrhythmia development and permanent pacemaker implantation after cardiac surgeryen_US
dc.typeArticleen_US

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