Journal article
Long-term outcomes after first-onset arrhythmia in Fontan physiology
TA Carins, WY Shi, AJ Iyengar, A Nisbet, V Forsdick, D Zannino, T Gentles, DJ Radford, R Justo, DS Celermajer, A Bullock, D Winlaw, G Wheaton, L Grigg, Y d'Udekem
Journal of Thoracic and Cardiovascular Surgery | MOSBY-ELSEVIER | Published : 2016
Abstract
Objectives Patients living with a Fontan circulation are prone to develop arrhythmias. However, their prognostic impact has been seldom studied. As such, we aimed to determine the incidence and predictors of arrhythmias after the Fontan procedure and the long-term outcomes after the first onset of arrhythmias. Methods Of the 1034 patients who have undergone a Fontan procedure as recorded in the Australian and New Zealand Fontan Registry, we identified those in whom a tachyarrhythmia or bradyarrhythmia developed. We evaluated the incidence and predictors of developing arrhythmias and their prognostic impact on late outcomes. Results Arrhythmia developed in 195 patients. Tachyarrhythmia was pr..
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Funding Acknowledgements
W.Y.S. is supported by the Royal Australasian College of Surgeons Foundation for Surgery Peter King/Heart Foundation Research Scholarship in addition to the University of Melbourne Viola Edith Reid and the RG and AU Meade Scholarships. A.B. reports consulting fees from Actelion. Y.d'U. is a National Health and Medical Research Council Clinician Practitioner Fellow (1082186). The Victorian Government's Operational Infrastructure Support Program supported this research project. All other authors have nothing to disclose with regard to commercial support.