Open Access
ARTICLE
Incidence and Related Risk Factors of Junctional Ectopic Tachycardia in Infants after Cardiac Surgery for Congenital Heart Disease
Jae Hee Seol1,4,#, Se Yong Jung1,#, Jae Young Choi1, Han Ki Park2, Young Hwan Park2, Nam Kyun Kim1,3,*
1
Department of Pediatrics, Congenital Heart Disease Center, Division of Pediatric Cardiology, Severance Cardiovascular Hospital,
Yonsei University College of Medicine, Seoul, Korea
2
Department of Pediatrics, Yonsei University Wonju College of Medicine, Wonju, Korea
3
Department of Thoracic and Cardiovascular Surgery, Division of Cardiovascular Surgery, Congenital Heart Disease Center,
Severance Cardiovascular Hospital, Yonsei University College of Medicine, Seoul, Korea
4
Department of Pediatrics and Biomedical Engineering, School of Medicine, Emory University, Atlanta, USA
* Corresponding Author: Nam Kyun Kim. Email:
# These authors equally contributed to this work as first author
Congenital Heart Disease 2022, 17(5), 569-578. https://doi.org/10.32604/chd.2022.018436
Received 24 October 2021; Accepted 11 April 2022; Issue published 06 September 2022
Abstract
Objective: Junctional ectopic tachycardia is common after cardiac surgery for congenital heart disease. However,
its incidence and related risk factors in infants after cardiac surgery are not well known. The objective of this study
was to determine the overall incidence and related risk factors for junctional ectopic tachycardia in neonates and
infants.
Methods: We enrolled a total of 271 patients aged <1 year who underwent open cardiac surgery at Severance Cardiovascular Hospital from January 2018 to December 2020. Exclusion criteria were immediate postoperative mortality, other arrhythmias detected in the perioperative period, and prematurity.
Result: The overall
incidence of junctional ectopic tachycardia was 12.9%. The logistic regression analysis revealed that longer cardiopulmonary bypass time, surgery involving atrioventricular node stretching, and the presence of early repolarization on preoperative electrocardiography increased the risk of junctional ectopic tachycardia. Patients with
junctional ectopic tachycardia had longer intubation time and intensive care unit stay.
Conclusion: Junctional
ectopic tachycardia is a common arrhythmia after cardiac surgery for congenital heart disease in infants. Occasionally, infants developing junctional ectopic tachycardia after cardiac surgery have specific preoperative electrocardiography findings. The risk factors for junctional ectopic tachycardia were associated not only with surgical
procedural factors but also with preoperative electrocardiographic parameters.
Keywords
Cite This Article
Seol, J. H., Jung, S. Y., Choi, J. Y., Park, H. K., Park, Y. H. et al. (2022). Incidence and Related Risk Factors of Junctional Ectopic Tachycardia in Infants after Cardiac Surgery for Congenital Heart Disease.
Congenital Heart Disease, 17(5), 569–578.