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Junctional ectopic tachycardia following tetralogy of fallot repair in children under 2 years

Overview of attention for article published in Journal of Cardiothoracic Surgery, June 2018
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Title
Junctional ectopic tachycardia following tetralogy of fallot repair in children under 2 years
Published in
Journal of Cardiothoracic Surgery, June 2018
DOI 10.1186/s13019-018-0749-y
Pubmed ID
Authors

Mohamed Fouad Ismail, Amr A. Arafat, Tamer E. Hamouda, Amira Esmat El Tantawy, Azzahra Edrees, Abdulbadee Bogis, Nashwa Badawy, Alaa B. Mahmoud, Ahmed Farid Elmahrouk, Ahmed A. Jamjoom

Abstract

Junctional ectopic tachycardia is a serious arrhythmia that frequently occurs after tetralogy of Fallot repair. Arrhythmia prophylaxis is not feasible for all pediatric cardiac surgery patients and identification of high risk patients is required. The objectives of this study were to characterize patients with JET, identify its predictors and subsequent complications and the effect of various treatment strategies on the outcomes in selected TOF patients undergoing total repair before 2 years of age. From 2003 to 2017, 609 patients had Tetralogy of Fallot repair, 322 were included in our study. We excluded patients above 2 years and patients with preoperative arrhythmia. 29.8% of the patients (n = 96) had postoperative JET. JET patients were younger and had higher preoperative heart rate. Independent predictors of JET were younger age, higher preoperative heart rate, cyanotic spells, non-use of B-blockers and low Mg and Ca (p = 0.011, 0.018, 0.024, 0.001, 0.004 and 0.001; respectively). JET didn't affect the duration of mechanical ventilation nor hospital stay (p = 0.12 and 0.2 respectively) but prolonged the ICU stay (p = 0.011). JET resolved in 39.5% (n = 38) of patients responding to conventional measures. Amiodarone was used in 31.25% (n = 30) of patients and its use was associated with longer ICU stay (p = 0.017). Ventricular pacing was required in 4 patients (5.2%). Median duration of JET was 30.5 h and 5 patients had recurrent JET episode. Timing of JET onset didn't affect ICU (p = 0.43) or hospital stay (p = 0.14) however, long duration of JET increased ICU and hospital stay (p = 0.02 and 0.009; respectively). JET increases ICU stay after TOF repair. Preoperative B-blockers significantly reduced JET. Patients with preoperative risk factors could benefit from preoperative arrhythmia prophylaxis and aggressive management of postoperative electrolyte disturbance is essential.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 44 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 44 100%

Demographic breakdown

Readers by professional status Count As %
Student > Postgraduate 6 14%
Professor > Associate Professor 6 14%
Professor 3 7%
Student > Bachelor 3 7%
Other 3 7%
Other 10 23%
Unknown 13 30%
Readers by discipline Count As %
Medicine and Dentistry 23 52%
Materials Science 2 5%
Immunology and Microbiology 1 2%
Unspecified 1 2%
Social Sciences 1 2%
Other 0 0%
Unknown 16 36%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 05 June 2018.
All research outputs
#18,637,483
of 23,088,369 outputs
Outputs from Journal of Cardiothoracic Surgery
#648
of 1,251 outputs
Outputs of similar age
#254,906
of 329,782 outputs
Outputs of similar age from Journal of Cardiothoracic Surgery
#36
of 52 outputs
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So far Altmetric has tracked 1,251 research outputs from this source. They receive a mean Attention Score of 2.2. This one is in the 25th percentile – i.e., 25% of its peers scored the same or lower than it.
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We're also able to compare this research output to 52 others from the same source and published within six weeks on either side of this one. This one is in the 3rd percentile – i.e., 3% of its contemporaries scored the same or lower than it.