Holter Electrocardiography Findings and P‐Wave Dispersion in Pediatric Patients with Transcatheter Closure of Atrial Septal Defects

Özyılmaz, İsa; Özyılmaz, Sinem; Tola, Hasan Tahsin; Saygı, Murat; Kiplapinar, Neslihan; Tanıdır, Cansaran; Ergül, Yakup; Güzeltaş, Alper; Ödemiş, Ender

doi:10.1111/anec.12104

Cited by 9 publications

(11 citation statements)

References 29 publications

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“…Out of the total of 47 ASD patients, 41 had a single ASD and six had multiple ASDs. During the closure procedures, 17 AMPLATZER ® septal occluders (AGA Medical Corp., Golden Valley, MN, USA) and 24 Cardi-O-Fix occluders (CSO, Starway Medical Technology Inc., Beijing, China) were used in addition to other ASD closure devices [three multi-fenestrated AMPLATZER septal occluders, two Lifetech Cera occluders, one BioSTAR occluder (NMT Medical, Inc., Boston, MA, USA)] (9). …”

Section: Resultsmentioning

confidence: 99%

“…This study was designed using the HRV data obtained using a Holter ECG monitor, as presented in the previously published study, “Holter Electrocardiographic Findings and P-wave Dispersion in Pediatric Patients with Transcatheter Closure of Atrial Septal Defects.” In the previously published part of this study, the HRV data was not used (9). This current study was approved by the Medical Investigation Ethical Committee of our hospital.…”

Section: Methodsmentioning

confidence: 99%

“…A control Holter was performed six months after the patients were discharged (9). The first electrode was placed at the right mid-clavicular, the second electrode was placed at the left mid-clavicular, and the third electrode was placed at the left anterior axillary line of the fifth rib.…”

Section: Methodsmentioning

confidence: 99%

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Heart rate variability improvement in children using transcatheter atrial septal defect closure

Özyılmaz¹,

Ergül²,

Tola³

et al. 2015

Anadolu Kardiyol Derg

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Objective:We evaluated autonomic behavior by examining heart rate variability (HRV) in the time domain and frequency domain in pediatric patients who underwent transcatheter closure of atrial septal defect (ASD).Methods:A prospective study design was used. Holter ECG was performed in a control group of 30 healthy subjects and a group of 47 patients who underwent transcatheter ASD closure. ECG was taken one day before, one day after, and six months after the procedure to evaluate changes in the time domain [SDNN, rMSSD, NN, pNN50(%), and SDANN] and frequency domain (VLF, LF, HF, VHF, and LF/HF) in the patient group. Student’s t-test was used to evaluate changes prior to and after the procedure.Results:There were 28 females (60%) in the patient group and 21 females (70%) in the control group. The mean age and weight of the participants in the patient group were 9.61±4.72 years and 32.40±19.60 kg, respectively; the mean age and weight of the control subjects were 10.43±5.31 years and 32.83±13.00 kg, respectively. In both the time domain and frequency domain analyses, the patient group values were found to be lower than those in the control group prior to the procedure; the values in the patient group were found to approach the values in the control group following the procedure. By the sixth month, the values in the patient group reached the control levels with no statistically significant difference (SDNN: 145±0.84, 137.50±42.50; r MSSD: 72.18±48.22, 58.14±28.49; SDANN: 125.13±13.50, 122.40±41.06; VLF: 112.85±29.07, 114.41±98.39; LF: 50.40±24.09, 45.69±15.13; HF: 39.28±19.86, 44.29±13.14; VHF: 10.29±4.24, 9.99±6.47; LF/HF: 1.90±1.44, 1.24±0.81; p>0.05).Conclusion:The transcatheter closure of secundum ASDs was found to have a positive effect on HRV. Consequently, it may contribute to reduced mortality and morbidity. We can conclude that in children, HRV recovers approximately six months after transcatheter ASD closure.

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Section: Resultsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

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Heart rate variability improvement in children using transcatheter atrial septal defect closure

Özyılmaz¹,

Ergül²,

Tola³

et al. 2015

Anadolu Kardiyol Derg

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“…When there is a left-to-right shunt, preoperative right ventricular overload can occur, while a right ventricular volume load drop can occur postoperatively. Furthermore, the amplitude of the ECG P-wave amplitude can decrease, the P wave duration can be shortened, and myocardial troponin may be released, while closure of the atrial wall can cause mechanical damage and edema of the inner wall of the atrium, all of which are associated with early atrial tachycardia [16]. 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.…”

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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“…It was measured for three consecutive beats on each derivation, and the average was calculated. P dispersion was defined as the difference between the longest and shortest P distances . ECG analysis was conducted by the same pediatric cardiologist (E.O.)…”

Section: Methodsmentioning

confidence: 99%

Effects of atomoxetine on heart rhythm in children and adolescents

Öztürk

Tanıdır

Öztürk

et al. 2015

Pediatrics International

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Atomoxetine did not cause significant changes in ECG or Holter variables. In two patients, who had undiagnosed subclinical extrasystoles, extra beats were increased after 4th week of treatment, but still remained clinically insignificant. Before and after atomoxetine treatment, listening to the heart sounds for a longer time, may help clinicians to notice an extra beat. If an extra beat is identified then 24 Holter monitoring is recommended.

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Holter Electrocardiography Findings and P‐Wave Dispersion in Pediatric Patients with Transcatheter Closure of Atrial Septal Defects

Cited by 9 publications

References 29 publications

Heart rate variability improvement in children using transcatheter atrial septal defect closure

Heart rate variability improvement in children using transcatheter atrial septal defect closure

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

Effects of atomoxetine on heart rhythm in children and adolescents

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