| Factor Information | |
|---|---|
| Data ID | 2744 |
| Factor | permanent postoperative complete heart block (CHB) |
| Description | The risk of complete heart block (CHB) from congenital heart repairs in Ghana is unknown. This information is important for referring physicians and in pre-operative counselling of patients and facilitates the process of obtaining informed consent for such repairs. |
| Biomarker | NA |
| Classification | A3 (clinical factor - disease & symptom) |
| Association | |
|---|---|
| Application | prognosis and risk assessment |
| Objective | This study was undertaken to determine the incidence of permanent post-operative CHB requiring pacemaker implantation; and the post-operative problems related to the pacemaker. |
| Conclusion | Permanent post-operative complete heart block occurred in 1.3% of patients undergoing VSD repair and 5.5% of those undergoing repair of conotruncal anomalies (Fallot's tetralogy). The dominant anatomic risk factor was a large perimembranous VSD as an isolated defect or as part of a conotruncal anomaly. Permanent pacemaker implantation in this setting is attended by a low morbidity. |
| Risk Factor | unknown |
| CHD Type | |
|---|---|
| ID | 619 |
| CHD Type | isolated CHD/non-isolated CHD |
| CHD Subtype | VSD, ASD/VSD, PDA/VSD, RVOTO/TOF/DORV/AVSD/SAS/other |
| Reference | |
|---|---|
| PMID | 21327015 |
| Year | 2010 |
| Title | Permanent complete heart block following surgical correction of congenital heart disease |
| Sample | ||
|---|---|---|
| Population | patients with CHD | |
| Source | Retrospective study design. | |
| Region | Accra,Ghana | |
| Method | Review | |
| Race | West Africa | |
| Disease History | N/A | |
| Treatment History | N/A | |
| Group | patients with CHD(Treatment) | N/A(Control) |
| Number | 242 | N/A |
| Age | ages ranged from 10 months to 70 years (mean 11.9 years, median 8.0 years) | N/A |
| Gender (Male: Female) | 127:115 | N/A |
| Marker Level | 0.025 | N/A |