First Evidence of Atrial Conduction Disorders in Pediatric Patients With Congenital Heart Disease
JACC: Clinical Electrophysiology , Volume 6 - Issue 14 p. 1739- 1743
This study sought to investigate whether pediatric patients with congenital heart disease (CHD) already have atrial conduction disorders early in life. The authors conducted first-in-children epicardial mapping in 10 pediatric patients with CHD undergoing primary open heart surgery. Areas of conduction delay (CD) and block (CB) were present in all patients and were particularly observed at Bachmann's bundle (CD: 4.9%; CB: 2.3%), followed by the right atrium (CD: 3.7%; CB: 1.6%) and, to a lesser degree, the left atrium (CD: 1.8%; CB: 1.0%). Conduction abnormalities may by aggravated over time (e.g., aging, residual lesions, or valvular dysfunction), predisposing these patients to atrial arrhythmias early in life.
|JACC: Clinical Electrophysiology|
|Organisation||Department of Cardiology|
Kharbanda, R.K, van Schie, M.S. (Mathijs S.), Ramdat Misier, N.L. (Nawin L.), van Leeuwen, W.J, Taverne, Y.J.H.J, van de Woestijne, P.C, … de Groot, N.M.S. (2020). First Evidence of Atrial Conduction Disorders in Pediatric Patients With Congenital Heart Disease. JACC: Clinical Electrophysiology (Vol. 6, pp. 1739–1743). doi:10.1016/j.jacep.2020.09.028