Email this article ECG changes after transcatheter correction of the secondary defect of the interatrial septum with Amplatzer occluder
- Authors: Abdyzhaparova EK1, Usupbaeva DA1, Dzhishambaev ED1, Dadabaev MK.1, Abdyzhaparova EK1, Usupbaeva DA1, Dzhishambaev ED1, Dadabaev MK.1
-
Affiliations:
- Issue: Vol 80, No 12 (2008)
- Pages: 28-32
- Section: Editorial
- URL: https://ter-arkhiv.ru/0040-3660/article/view/30247
- ID: 30247
Cite item
Full Text
Abstract
Material and methods. Secondary transcatheter IAD correction was made with Amplatzer Septal Occluder (AGA Medical Corporation, USA) in 33 adults (mean age 33.5 ± 2.3 years) and 22 children (mean age 11.2 ± 1.3 years). Short- and long-term outcomes of the defect correction were followed up for 1 to 12 months.
Results. Ectopic atrial rhythm registered initially in 2 adult patients was corrected to 1 month after the operation. Normalization or reduction of the electric axis of the heart (EAH) deviation were achieved in 45.5% adults and 66.7% children who had vertical axis or right shift of the axis. Baseline right ventricular hypertrophy (RV1+SV5,6 > 10.5 mm) was diagnosed in 10 adults and 9 children. To the end of the first year after IAD correction this hypertrophy was detected in 5 adults and 3 children (50 and 33.3%, respectively). Blockade of the right bundle of His (complete in 5 cases and incomplete in 23 cases) was diagnosed before treatment in 18 adults and 10 children. To month 12 after the defect correction incomplete blockade persisted only in 2 (11.1%) adults and 1 (10%) child. In 6 months P wave amplitude diminished in adults from 1.9 ±0.12 to 1.7 ± 0.10 mm (p < 0.01), in children - from 1.8 ± 0.07 to 1.6 ± 0.11 mm (p < 0.05). QRS complex duration decreased both in adults and children (from 0.10 ± 0.003 to 0.08 ± 0.004 s, p < 0.01 and from 0.09 ± 0.003 to 0.08 ± 0.002 s, p < 0.05, respectively). In the latter duration of the interval P-Q reduced significantly in 3 months from 0.18 ± 0.005 to 0.17 ± 0.005 s (p < 0.05).
Conclusion. ECG changes after transcatheter correction of IAD manifest with normalization of the EAH or reduction of its shift to the right, regress of right ventricular hypertrophy, elimination or reduction of the right bundle of His and absence of significant deterioration of cardiac arrhythmia.
About the authors
E K Abdyzhaparova
D A Usupbaeva
E D Dzhishambaev
M Kh Dadabaev
E K Abdyzhaparova
D A Usupbaeva
E D Dzhishambaev
M Kh Dadabaev
References
- Амбатьелло Л. Г., Блинова Е. В., Сахнова Т. А., Чазова И. Е. Электрокардиографическая картина у больных с врожденным дефектом межпредсердной перегородки, оперированных во взрослом возрасте. Кардиология 2003; 2: 60-64.
- Mantovan R., Gatzoulis M. A., Pedcorro A. et al. Supraventricular arrhythmia before and after surgical closure of atrial septal defects: spectrum, prognosis and management. Europace 2003; 5(2): 13300138.
- Di Bernardo S., Berger F., Fasnacht M., Bauersfeld A. Impact of right ventricular size on ECG after percutaneous closure of atrial septal defect with Amplatzer Septal Occluder. Swiss Med. Wkly 2005; 135(43-44): 647-651.
- Hill S. L., Berul C. I., Oatel H. T. et al. Early ECG abnormalities associated with transcatheter closure of atrial septal defects using the Amplatzer septal occluder. J. Interv. Card. Electrophysiol. 2000; 4(3): 469-474.
- Santoro G., Pascotto M., Sarubbi B. et al. Early electrical and geometric changes after percutaneous closure of large atrial septal defect. Cardiology 2004; 93(7): 876-880.
- Константинов Б. А., Громова Г. В., Амабле Д. А. и др. Изменения ЭКГ и сопоставление с рентгенологическими данными в отдаленном периоде после операции по поводу вторичного дефекта межпредсердной перегородки. Кардиология 1983; 11: 63-67.
- Bolens M., Friedli B. Sinus node function and conduction system before and after surgery for secundum atrial septal defect: an electrophysiologic study. Am. J. Cardiol. 1984; 53(10): 1415-1420.
- Reid J. M., Stevenson J. C. Cardiac arrhythmias following successful surgical closure of atrial septal defect. Br. Med. J. 1967; 29(5): 742-747.
- Forfang K. Electrocardiographic finding before and after surgery for atrial septal defect of the secundum type in middle-aged patients. Cardiology 1978; 63(2): 94-106.
- Karwot B., Bialkowski J., Szkutnik M. et al. Iatrogenic cardiac arrhythmias following ytanscatheter or surgical closure of atrial septal defect in children. Kardiol. Pol. 2005; 62(1): 35-43.
- Celiker A., Ozkutlu S., Karakurt C., Karagoz T. Cardiac dysrhythmias after transcatheter closure of ASD with Amplatzer device. Turk. J. Pediatr. 2005; 47(4): 323-326.
- Sung R. J., Tamer D. M., Agha A. S. et al. Etiology of the electrocardiographic pattern of "incomplete right bundle branch block" in atrial septal defect: an electrophysiologic study. J. Pediatr. 1975; 87(pt 2): 1182-1186.
- Кубергер М. Б. Руководство по клинической электрокардиографии детского возраста. М.: Медицина; 1983.
Supplementary files
