Análise de arritmias cardíacas no pós-operatório tardio de conexão anômala total de veias pulmonares

• Ano de defesa: 2015
• Autor(a) principal: Tukamoto, Danielle Lilia Dantas
• Orientador(a): Godoy, Moacir Fernandes de
• Banca de defesa: Ribeiro, Zilma Verçosa de Sá, De Marchi, Carlos Henrique
• Tipo de documento: Dissertação
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Faculdade de Medicina de São José do Rio Preto
• Programa de Pós-Graduação: Programa de Pós-Graduação em Ciências da Saúde::1102159680310750095::500
• Departamento: Faculdade 1::Departamento 1::306626487509624506::500
• País: Brasil
• Palavras-chave em Português: Arritmias Cardíacas; Veias Pulmonares; Nó Sinoatrial
• Palavras-chave em Inglês: Arrhythmias, Cardiac; Pulmonary Veins; Sinoatrial Node
• Área do conhecimento CNPq: CIENCIAS DA SAUDE::8765449414823306929::600
• Link de acesso: http://bdtd.famerp.br/handle/tede/257

Introduction: The frequency of events of total anomalous pulmonary venous connection (TAPVC) varies in the different series from 5.9 to 7.1 / 100 000 live births, representing 1 to 5% of cases of congenital heart disease. Since the current care has developed; the need to approach possible late complications, such as arrhythmias, is important. Objective: To evaluate the distribution of arrhythmias and possible related variables in patients in the late postoperative TAPVC. Method: Medical record review and clinical and noninvasive arrhythmia evaluation were used for data analysis of 20 patients who underwent isolated TAPVC. Statistical analysis for the detection of related variables. Results: Clinical and echocardiographic evaluations showed no significant changes. Of the 20 patients, 13 (65%) showed some abnormalities for age according to the 12-led EGC. By Holter, six patients (30%) presented atrial and / or ventricular ectopy with higher frequency than mild. Junctional rhythm and 2: 1 atrioventricular occurred in one patient (5%). Analyzing the criteria for sinus node dysfunction, bradycardia was observed by Holter in 30% of the patients. There were no pauses longer than two seconds. By Ergometric test, 82% of children had chronotropic deficit. Follow-up more than 60 months and abnormal ECG were related to the presence of arrhythmias. Conclusion: The long term follow-up of patients undergoing anomalous pulmonary venous connection showed that regardless of the good clinical and echocardiographic results, the possibility of occurrence of atrial and / or ventricular arrhythmias highlight attention to the need for maintenance of regular clinical evaluations.