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Follow Up of Electrocardiographic Findings and Arrhythmias in Patients with Anomalously Arising Left Coronary Artery from the Pulmonary Trunk

Abstract Follow up data and correlation of arrhythmias, electrocardiogram (ECG) changes, and cardiac function in anomalous left coronary artery from the pulmonary trunk or artery (ALCAPA) have not been previously studied. This is a retrospective single-center review of 44 ALCAPA patients diagnosed b... Full description

Journal Title: The American journal of cardiology 2016, Vol.118 (10), p.1563-1567
Main Author: Moore, Judson A., MD
Other Authors: Cabrera, Antonio G., MD , Kim, Jeffrey J., MD , Valdés, Santiago O., MD , de la Uz, Caridad, MD , Miyake, Christina Y., MD, MS
Format: Electronic Article Electronic Article
Language: English
Subjects:
Age
Publisher: United States: Elsevier Inc
ID: ISSN: 0002-9149
Link: https://www.ncbi.nlm.nih.gov/pubmed/27772664
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title: Follow Up of Electrocardiographic Findings and Arrhythmias in Patients with Anomalously Arising Left Coronary Artery from the Pulmonary Trunk
format: Article
creator:
  • Moore, Judson A., MD
  • Cabrera, Antonio G., MD
  • Kim, Jeffrey J., MD
  • Valdés, Santiago O., MD
  • de la Uz, Caridad, MD
  • Miyake, Christina Y., MD, MS
subjects:
  • Abridged Index Medicus
  • Adolescent
  • Age
  • Analysis
  • Anti-arrhythmia drugs
  • Arrhythmias, Cardiac - diagnosis
  • Arrhythmias, Cardiac - etiology
  • Arrhythmias, Cardiac - physiopathology
  • Cardiac arrhythmia
  • Cardiac patients
  • Cardiology
  • Cardiovascular
  • Cardiovascular disease
  • Care and treatment
  • Child
  • Child, Preschool
  • Congenital diseases
  • Coronary Vessel Anomalies - complications
  • Coronary Vessel Anomalies - diagnosis
  • Coronary Vessel Anomalies - physiopathology
  • Coronary vessels
  • Coronary Vessels - diagnostic imaging
  • Coronary Vessels - physiopathology
  • Echocardiography
  • Electrocardiogram
  • Electrocardiography
  • Female
  • Follow-Up Studies
  • Heart
  • Heart Rate - physiology
  • Hospitalization
  • Humans
  • Infant
  • Infant, Newborn
  • Male
  • Medical research
  • Medicine, Experimental
  • Patients
  • Postoperative period
  • Pulmonary arteries
  • Pulmonary Artery - abnormalities
  • Pulmonary Artery - diagnostic imaging
  • Retrospective Studies
  • Studies
  • Tachycardia
  • Time Factors
  • Trends
  • Veins & arteries
  • Ventricular Function, Left - physiology
ispartof: The American journal of cardiology, 2016, Vol.118 (10), p.1563-1567
description: Abstract Follow up data and correlation of arrhythmias, electrocardiogram (ECG) changes, and cardiac function in anomalous left coronary artery from the pulmonary trunk or artery (ALCAPA) have not been previously studied. This is a retrospective single-center review of 44 ALCAPA patients diagnosed between 1992-2014, at a median age of 3 months (3d-13 yrs). Clinical history, ECG, Holter, and echocardiogram data were reviewed. ECGs were reviewed for contiguous Q or T wave inversions, hypertrophy, bundle branch block, and axis deviation. High-grade ventricular ectopy, supraventricular (SVT) and ventricular tachycardia (VT) was recorded. Patients with
language: eng
source:
identifier: ISSN: 0002-9149
fulltext: no_fulltext
issn:
  • 0002-9149
  • 1879-1913
url: Link


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titleFollow Up of Electrocardiographic Findings and Arrhythmias in Patients with Anomalously Arising Left Coronary Artery from the Pulmonary Trunk
creatorMoore, Judson A., MD ; Cabrera, Antonio G., MD ; Kim, Jeffrey J., MD ; Valdés, Santiago O., MD ; de la Uz, Caridad, MD ; Miyake, Christina Y., MD, MS
creatorcontribMoore, Judson A., MD ; Cabrera, Antonio G., MD ; Kim, Jeffrey J., MD ; Valdés, Santiago O., MD ; de la Uz, Caridad, MD ; Miyake, Christina Y., MD, MS
descriptionAbstract Follow up data and correlation of arrhythmias, electrocardiogram (ECG) changes, and cardiac function in anomalous left coronary artery from the pulmonary trunk or artery (ALCAPA) have not been previously studied. This is a retrospective single-center review of 44 ALCAPA patients diagnosed between 1992-2014, at a median age of 3 months (3d-13 yrs). Clinical history, ECG, Holter, and echocardiogram data were reviewed. ECGs were reviewed for contiguous Q or T wave inversions, hypertrophy, bundle branch block, and axis deviation. High-grade ventricular ectopy, supraventricular (SVT) and ventricular tachycardia (VT) was recorded. Patients with <6 months of clinical follow up were excluded from longitudinal analysis. At diagnosis, 43 (98%) were noted to have ECG changes. During hospitalization, arrhythmias were seen in 13 patients (30%): 2 (5%) with sustained VT or ventricular fibrillation, 6 (17%) with high-grade ventricular ectopy, and 4 (9%) with SVT. Seven patients (16%) required anti-arrhythmic treatment. During outpatient follow up, arrhythmias were seen in 11 patients. New arrhythmias were documented in 6 without a prior history of in hospital arrhythmias. Of 34 patients with at least 6 months follow up (median 6 yrs, 0.5 – 20 yrs), 20 had left ventricular (LV) dysfunction prior to surgery. Normalization of function occurred in 94% (median 1 yr, 5d – 4 yrs). ECG changes persisted in 94% at the time of LV function recovery. In conclusion, ECG changes and arrhythmias may persist despite recovery of ventricular function. Therefore, prolonged myocardial remodeling may continue even after resolution of LV function during which time arrhythmias may occur.
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subjectAbridged Index Medicus ; Adolescent ; Age ; Analysis ; Anti-arrhythmia drugs ; Arrhythmias, Cardiac - diagnosis ; Arrhythmias, Cardiac - etiology ; Arrhythmias, Cardiac - physiopathology ; Cardiac arrhythmia ; Cardiac patients ; Cardiology ; Cardiovascular ; Cardiovascular disease ; Care and treatment ; Child ; Child, Preschool ; Congenital diseases ; Coronary Vessel Anomalies - complications ; Coronary Vessel Anomalies - diagnosis ; Coronary Vessel Anomalies - physiopathology ; Coronary vessels ; Coronary Vessels - diagnostic imaging ; Coronary Vessels - physiopathology ; Echocardiography ; Electrocardiogram ; Electrocardiography ; Female ; Follow-Up Studies ; Heart ; Heart Rate - physiology ; Hospitalization ; Humans ; Infant ; Infant, Newborn ; Male ; Medical research ; Medicine, Experimental ; Patients ; Postoperative period ; Pulmonary arteries ; Pulmonary Artery - abnormalities ; Pulmonary Artery - diagnostic imaging ; Retrospective Studies ; Studies ; Tachycardia ; Time Factors ; Trends ; Veins & arteries ; Ventricular Function, Left - physiology
ispartofThe American journal of cardiology, 2016, Vol.118 (10), p.1563-1567
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1Cabrera, Antonio G., MD
2Kim, Jeffrey J., MD
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5Miyake, Christina Y., MD, MS
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descriptionAbstract Follow up data and correlation of arrhythmias, electrocardiogram (ECG) changes, and cardiac function in anomalous left coronary artery from the pulmonary trunk or artery (ALCAPA) have not been previously studied. This is a retrospective single-center review of 44 ALCAPA patients diagnosed between 1992-2014, at a median age of 3 months (3d-13 yrs). Clinical history, ECG, Holter, and echocardiogram data were reviewed. ECGs were reviewed for contiguous Q or T wave inversions, hypertrophy, bundle branch block, and axis deviation. High-grade ventricular ectopy, supraventricular (SVT) and ventricular tachycardia (VT) was recorded. Patients with <6 months of clinical follow up were excluded from longitudinal analysis. At diagnosis, 43 (98%) were noted to have ECG changes. During hospitalization, arrhythmias were seen in 13 patients (30%): 2 (5%) with sustained VT or ventricular fibrillation, 6 (17%) with high-grade ventricular ectopy, and 4 (9%) with SVT. Seven patients (16%) required anti-arrhythmic treatment. During outpatient follow up, arrhythmias were seen in 11 patients. New arrhythmias were documented in 6 without a prior history of in hospital arrhythmias. Of 34 patients with at least 6 months follow up (median 6 yrs, 0.5 – 20 yrs), 20 had left ventricular (LV) dysfunction prior to surgery. Normalization of function occurred in 94% (median 1 yr, 5d – 4 yrs). ECG changes persisted in 94% at the time of LV function recovery. In conclusion, ECG changes and arrhythmias may persist despite recovery of ventricular function. Therefore, prolonged myocardial remodeling may continue even after resolution of LV function during which time arrhythmias may occur.
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5Arrhythmias, Cardiac - diagnosis
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7Arrhythmias, Cardiac - physiopathology
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16Congenital diseases
17Coronary Vessel Anomalies - complications
18Coronary Vessel Anomalies - diagnosis
19Coronary Vessel Anomalies - physiopathology
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40Pulmonary Artery - abnormalities
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titleFollow Up of Electrocardiographic Findings and Arrhythmias in Patients with Anomalously Arising Left Coronary Artery from the Pulmonary Trunk
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7Arrhythmias, Cardiac - physiopathology
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abstractAbstract Follow up data and correlation of arrhythmias, electrocardiogram (ECG) changes, and cardiac function in anomalous left coronary artery from the pulmonary trunk or artery (ALCAPA) have not been previously studied. This is a retrospective single-center review of 44 ALCAPA patients diagnosed between 1992-2014, at a median age of 3 months (3d-13 yrs). Clinical history, ECG, Holter, and echocardiogram data were reviewed. ECGs were reviewed for contiguous Q or T wave inversions, hypertrophy, bundle branch block, and axis deviation. High-grade ventricular ectopy, supraventricular (SVT) and ventricular tachycardia (VT) was recorded. Patients with <6 months of clinical follow up were excluded from longitudinal analysis. At diagnosis, 43 (98%) were noted to have ECG changes. During hospitalization, arrhythmias were seen in 13 patients (30%): 2 (5%) with sustained VT or ventricular fibrillation, 6 (17%) with high-grade ventricular ectopy, and 4 (9%) with SVT. Seven patients (16%) required anti-arrhythmic treatment. During outpatient follow up, arrhythmias were seen in 11 patients. New arrhythmias were documented in 6 without a prior history of in hospital arrhythmias. Of 34 patients with at least 6 months follow up (median 6 yrs, 0.5 – 20 yrs), 20 had left ventricular (LV) dysfunction prior to surgery. Normalization of function occurred in 94% (median 1 yr, 5d – 4 yrs). ECG changes persisted in 94% at the time of LV function recovery. In conclusion, ECG changes and arrhythmias may persist despite recovery of ventricular function. Therefore, prolonged myocardial remodeling may continue even after resolution of LV function during which time arrhythmias may occur.
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