Electrocardiographic changes and arrhythmias following percutaneous atrial septal defect and patent foramen ovale device closure

Johnson, Jonathan N.; Marquardt, Michelle L.; Ackerman, Michael J.; Asirvatham, Samuel J.; Reeder, Guy S.; Cabalka, Allison K.; Cetta, Frank; Hagler, Donald J.

doi:10.1002/ccd.23028

Cited by 67 publications

(47 citation statements)

References 29 publications

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“…Among other findings, the average P-wave duration was increased on intermediate follow-up as compared to early follow-up (P < 0.001). Development of new-onset 1st degree AV Block after the procedure was associated with an increased risk of ATs post-procedure (P < 0.0001) [38].…”

Section: Discussionmentioning

confidence: 99%

“…Johnson et al [38] reported an incidence of 5.2% of arrhythmias (32 patients among 610 patients) in the 4 months following device placement, including 29 patients with atrial tachyarrhythmias (22 atrial fibrillation, 7 atrial flutter), 1 with junctional tachycardia, and 2 with heart block. Among other findings, the average P-wave duration was increased on intermediate follow-up as compared to early follow-up (P < 0.001).…”

Section: Discussionmentioning

confidence: 99%

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Intermediate Outcome of Transcatheter Closure of Secundum Atrial Septal Defect on Cardiac Remodeling in Egyptian Children and Adults

Ammar¹,

Arab²,

Hammady³

et al. 2016

JCCR

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Background: Atrial septal defects (ASDs) are the second most common congenital lesion in adults. ASD closure is followed by symptomatic improvement and regression of pulmonary artery pressure (PAP), reduction in right heart volume overload and hence the prevalence of arrhythmias, thus quantification of the RV function is an important prognostic factor. Tissue Doppler and strain imaging are helpful tools for the assessment of RV systolic and diastolic function. Results:At the 1 year follow up of transcatheter ASD closure, the RVEDD had decreased from 22.93±5.889 mm to 18±4.06 mm(P=0.000), and the LVEDD had increased from 33.23±5.393 mm to 36.27±6.75 mm(P=0.001). Mean PAP decreased from 18.37±4.796 mmHg to 14.77±4.75 mmHg (P=0.022). RVSP decreased from 28.9±4.425 mmHg to 15.83±4.17 mmHg (P=0.000). Regarding electrocardiography, the P wave duration decreased from 107.13±19.62 ms to 77±14.18 ms (P=0.000) and the PR interval decreased from 177.97±21.932 ms to 160.33±26.06 ms (P=0.000).The QRS duration decreased from 134.40± 4.97 ms to a mean of 119.87±4.12 ms (P=0.000). All the patients had normal sinus rhythm before closure and no one developed arrhythmia until 1 year after closure. 50 % of the patients had normal RV size at the 1-year follow up. Tricuspid annular velocities, longitudinal strain, and strain rate measurement showed no significant difference as compared to normal values, which suggest improvement of the RV systolic and diastolic function after transcatheter closure. Conclusion:Transcatheter ASD closure leads to a significant improvement in heart cavity dimensions and RV function and reversal of electrical and mechanical changes. Novel parameters for assessment of RV function are promising and appear to be helpful for the assessment of RV function and its response to correction of volume

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Intermediate Outcome of Transcatheter Closure of Secundum Atrial Septal Defect on Cardiac Remodeling in Egyptian Children and Adults

Ammar¹,

Arab²,

Hammady³

et al. 2016

JCCR

View full text Add to dashboard Cite

show abstract

“…After the interventional treatment of ASDs, atrial arrhythmias are relatively common, including atrial tachycardia and premature atrial beating; the incidence rates for these arrhythmias range from 5.2 to 16.0% [14,15]. When there is a left-to-right shunt, preoperative right ventricular overload can occur, while a right ventricular volume load drop can occur postoperatively.…”

Section: Discussionmentioning

confidence: 99%

“…This does not often occur immediately, but will occur a month after the closure procedure as the myocardial edema subsides and the heart rate slows to facilitate recovery. The PR interval and the duration of the P wave was lengthened in the follow-up period, which indicated that the atrial conduction delay was prolonged, so it was necessary to extend the follow-up time, which was favorable for the discovery of potential atrioventricular block [14]. …”

Section: Discussionmentioning

confidence: 99%

Feasibility, Safety and Long-Term Follow-Up of Transcatheter Closure of Secundum Atrial Septal Defects with Deficient Rims

Cao

Wang²,

Huang³

et al. 2016

Cardiology

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Objective: The aim of this work was to evaluate the feasibility and safety of transcatheter closure procedures for the treatment of atrial septal defects (ASDs) with insufficient rims. Methods: A total of 507 secondary ASDs were divided into two groups based on whether they had deficient rims or not (152 vs. 355 cases,respectively). Any complications, including residual shunt, heart arrhythmia, occluder translocation, etc., were followed up for 1-3 years. Results: There were no differences in gender, weight, exposure time, ECG states, pulmonary pressure, the intervention success rate, occurrence of residual shunt, the operation time and occurrence of residual shunt during follow-up between the two groups (p > 0.05). However, the occurrence of rhythm disorders was significantly different between the two groups; ASDs with deficient rims were at an elevated risk (p < 0.05). Specifically, there was a significantly higher incidence in the occurrence of arrhythmia in the deficient rims group at 24 h postoperation, but no differences in arrhythmia incidence at any of the other follow-up time points (1, 3, 6, 12 and 36 months; p > 0.05). Conclusions: Patients with deficient rims experience a high success rate of ASD intervention and low rate of complications when the procedures are performed by experienced operators.

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“…İşlem esnasında ve sonrasında izlemlerde aritmi sıklığı %5 olarak bildirilmiştir. 17 Aritmi sıklığındaki artış interatriyal septumun cihazın santral bel kısmı tarafından gerilmesine bağlı olabileceği düşünül-mektedir. Bizim çalışmamızda da bir hastada geçici 2. derece atriyoventriküler blok gelişti.…”

Section: Perkütan Kapatma Işlemiunclassified

Percutaneous closure of atrial septal defects without balloon sizing in adults: Experience of a tertiary referral center

Kaya

Ertaş²,

Yıldız³

et al. 2013

J Clin Exp Invest

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GİRİŞAtriyal septal defekt (ASD) erişkinlerde biküspid aort kapağı sonrası en sık görülen konjenital kalp hastalığı olup, tüm doğuştan kalp hastalıklarının %10'unu oluşturur. 1 ASD'lerin %80'i fossa ovalis bölgesinde-ki defektlerden kaynaklanan sekundum tip ASD'lerdir.2 Çoğu zaman erişkin yaşa kadar asemptomatik kalmakla birlikte tedavi edilmemiş ASD'lerin komplikasyonları arasında atriyal aritmiler, paradoksik

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Electrocardiographic changes and arrhythmias following percutaneous atrial septal defect and patent foramen ovale device closure

Cited by 67 publications

References 29 publications

Intermediate Outcome of Transcatheter Closure of Secundum Atrial Septal Defect on Cardiac Remodeling in Egyptian Children and Adults

Intermediate Outcome of Transcatheter Closure of Secundum Atrial Septal Defect on Cardiac Remodeling in Egyptian Children and Adults

Feasibility, Safety and Long-Term Follow-Up of Transcatheter Closure of Secundum Atrial Septal Defects with Deficient Rims

Percutaneous closure of atrial septal defects without balloon sizing in adults: Experience of a tertiary referral center

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